/^P74> 


ry/ 


/^79 


COLLEGE  OF 

PHYSICIANS  AND  SURGEONS 

LIBRARY 


—  --♦••♦ 

We   take  pleasure   in    informin^^   our  friends    that    our 

Illustrated  Catalogue  and  Price  List 


with  above  title,  is  noiv  ready  for  distribution. 

Care  and  expense  have  not  been  spared  to  make  this 
work  attractive  in  appearance   and  as  complete   as  possible. 

It  numbers  j8g  pciges^  contains  over  2,2j0  first=class 
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sent  by  express  (it  weighs  a  fraction  over  four  pounds'). 

There  will  be  no  deviation  or  exception  from  above 
rule,  and,  in  explanation  of  possible  niisunderstandifig ,  we 
wish  to  make  it  distinctly  understood  that  we  do  not 
charge  anything  for  the  Catalogue  itself,  but  merely 
provide  for  our  friends  a  fine  binding,  for  which  we  charge 
them  cost  price  in  order  to  insure  the  preservation  of  the 
Catalogue. 

The  Arn'iamentarium ,  apart  from    being   a  price   list, 

may  justly  be  regarded  as  a  text  book  on  Surgeons'  Instru= 

ments^  and   as  such  will  be  a  valuable  addition   to  the  sur= 

geons'  library. 

Yours  respectfully, 

GEORGE  TIEMANN  &  CO, 

67   Chatham  Street,  New  York. 

An  ABRIDGED  CATALOGUE  will  be  sent  free  upon  application. 


Digitized  by  the  Internet  Archive 

in  2010  with  funding  from 

Open  Knowledge  Commons 


http://www.archive.org/details/americanarmamentOOgeor 


GEORGE  TIEMANN  &  CO.'S 

ARMAMENTARIUM  CHIRURGICUM, 


Messrs.  Stohlmann  &  Pfaere  take  great  pleasure  iu  offering  to  the  pro- 
fession the  present  revised,  augmented  and  supplemented  edition  of  this  work. 

Practitioners  of  surgery,  by  consulting  the  following  pages,  will  be  assisted 
in  the  choice  of  the  most  approved  instruments  and  appliances  for  the  ac- 
complishment of  their  purjDoses.  Especially  will  this  be  the  case  with  those 
gentlemen  engaged  in  practice  at  distances  remote  from  the  facilities  of  ob- 
taining information  from  personal  observation,  as  well  as  from  intercourse 
with  their  brethren  of  enlarged  experience,  which  populous  cities  always 
afford. 

Moreover,  a  drawing  of  an  instrument  imparts  a  more  accurate  conception 
of  its  construction,  and  consequently  a  clearer  idea  of  its  suitableness  to  the 
end  proposed  ;  or,  the  description,  however  precise,  is  at  times  imperfectly 
comprehended.     A  drawing  often  clears  the  obscurity. 

In  surgical  works,  the  description  of  many  instruments  is  often  necessarily 
omitted  —  a  mere  reference  being  made  to  them  —  which  impresses  the  unin- 
formed inquirer  with  the  conviction  that  there  are  many  appliances  which  he 
might  advantageously  employ ;  or  an  ignorance  of  others,  of  still  more  recent 
introduction,  may  depiive  him  of  means  which,  if  placed  in  his  hands,  would 
enable  hira  to  effect  the  desired  result. 

A  knowledge  of  these  facts  has  induced  the  publication  of  the  present 
volume,  which,  it  is  earnestly  hoped,  will  meet  the  wants  of  the  profession. 

It  is  proposed  from  time  to  time  to  issue  a  suj^plement  to  the  Aejiamex- 
TARiuM ;  and  those  physicians  and  surgeons  Avho  desire  to  introduce  new 
instruments  are  requested  to  communicate  with  the  publishers, —  that  the  in- 
ventions may  be  more  thoroughly  known,  and  drawings  and  descriptions 
inserted  in  the  supplementary  j^ages  of  the  volume. 


Old  Stand,  Established  183G. 


Bkanch  Off  Geokge  Tiemawn  &  Co.,  East 


SSth  Street,  New  Yokk. 


THE 


AMEEICAI^ 


mmmi 


George  Tiemann  &  Co. 


67    CHATHAM    STREET, 


NEW  YORK. 


3/^t?  (j0</ 


4o 


h  \  i^A  g-^^ -/n.^^ 


Entered  according  to  Act  of  Congress,  in  the  year  1879,  by 

GEO.  TIEMANN    &    CO. 
in  ttie  Oifice  of  the  Librarian  of  Congress,  at  Washington. 


Charles  H.  Ludwig,  Printer, 

10  &  13  Reade  Street. 


ALPHABETICAL  INDEX. 


Page    Part 
Abdominal  Bandage 17     IV. 

Belt 17,  18,  53     IV. 

Supporter 9,  16     IV. 

Abscess  Knife 58        I. 

Lancet 56        I. 

Achilles,  Tendo 28     IV. 

Acoustic — Ear    Trumpets,     Stetho- 
scopes, Tuning  Fork 

Acoumeter 27       S. 

Actual  Cautery IQO    III. 

Acupressure  Pin 

Acupuncture 

Trocar 

Adams'  Hsemorrhoidal  Syringe 

Rhinoplastos 3       S. 

Subcutaneous  Saw 3       S. 

Subcutaneous  Knife 3       S. 

Adhesive  Plaster 61 

^sthesiometers 85 

Agnew's  Adjuster 

Canalicula  Knife 

*Eye  Case 13      II. 

Eye  Douche 27      II. 

Hernia  Instrument 

Iridectomy  Knife 

Lachrymal  Syringe 

Perineum  Case 

Perineum  Needles 

Seizing  Forceps 

Spring  Tattoe 

Tattoeing  Needle 

Air  Pump 64    I., 

and  Receiver 

Alimentary 

Allen's  Polypus  Forceps 

Alligator  Forceps,  Urethral 

Allingham's  Director 

Ligature  Carrier 

Scissors , 

Allis'  Ether  Inhaler 116        I. 

Herniatome 11        S. 

Allison's  Differential  Stethoscope  . .     83        I. 

Althoff's  Iridectomy  Scissors 30      11. 

American  Bullet  Forceps 42        I. 

American    Scale,    Urethral    Instru- 
ments        5    III. 

Amputating  Cases 1        I. 


38  I. 

38  I. 

123  III. 

125  III. 


,80  IV. 

,86  I. 

115  III. 

10  II. 


126    III. 

30      II. 

6      II. 

116    III. 

115    III. 

115    III. 

33      II. 

33      II. 

112     IV. 

II. 

11. 

II. 


89 
101 

45 

45  III. 
121  III. 
125  III. 
121    III. 


Page  Part 

Amputating  Cervix  Uteri  ScLssors. .     81  III. 

Saws 2  I. 

Knives 4  I. 

Scalpels 4  I. 

Tenaculum 4  I. 

and  Trepanning-  Cases  ...       3  I. 

and  Minor  Operating  Case     19  I. 

Amusat's  Hfemorrhoidal  Clamp. . . .  121  III. 

Anal  Dilators 118,  119,  125  III. 

Fissure  Knives 121  III. 

Instruments 117  III. 

Specula 117,  118,  125  III. 

Supporter 134  IV. 

Anaesthetic 114  I. 

Analysis,  Graduates  for 79  I. 

Anatomical  Models 130  I. 

Syringe 94  I. 

Anchylosis,  Elbow  Apparatus  .....     23  IV. 

Knee  Apparatus 48,  49,  50  IV. 

Andrew's  Ankle-joint  Splint 121  IV. 

Artery  Forceps 44  I. 

Elbow-Joint  Splint 123  IV. 

Knee-joint  Braces 122,  125  IV. 

Knee- Joint  Splint 124  IV. 

Morbus  Coxarius  Apparatus .  126  TV. 

Pocket  Case 53  I. 

Searcher,  Stone 31  III. 

Spine  Brace 127  IV. 

Wrist  Splint 123  IV. 

Anell's  Probe 6  II. 

Eye  Syringe 6  II. 

Aneurismal 28  I. 

Needle 6,  28,  61  I. 

Angular  Ear  Hook 46  .    II. 

Ear  Probe 43  II. 

Eye  Needle 27  II. 

Pile  Needle 123  III. 

Scissors 50  I. 

Scissors  59  II. 

Scissors 70,  124  III. 

Ankle  Compressor 130  IV. 

Joint,  Sayre's  Apparatus  ....     52  IV. 

Splint,  Andrew's 121  IV. 

Weak,  Brace  for 27  TV. 

Ani-Prolapsus  Supporter 19  IV. 

Animal  Ligature 122  I. 

Anterior  Curvature  Tibia  Apparatus    37  IV. 


*  Sets  of  Instruments  in  Cases  are  indicated  by  heavy-faced,  type. 


Alphabetical  Index. 

GEO.  TIEMANN  &  CO.'S  SUKGICAL  INSTRUMENTS, 
F.  A.  Stoiilmann.  Edward  Pfarre. 


Page 


Anterior  Splint,  Smitli's 54 

Antiseptic  Sprays , 119 


bprayi 


6 


Surgery  ]\Iaterials 122 

Antrum  Drill,  Pope's 12 

Apoueurotome 42 

Apparitor  Auris 13 

Applicators,  Urethral 21 

Uterine 65,  73,  77,  82,  83 

Arm,  Junod's,  Dry  Cupping 113 

Armadillo,  Voltaic 104 

Voltaic 50 

Arm  Sling 93 

Splints..  76,79,91,92,93,94, 

109,  110, 123,  130, 135 

Armlets,  Elastic 53 

Arnold's  Flexible  Stethoscope 81 

Arterial 26 

Compressor 34 

Artery  Constrictor,  Speir's 26 

Artery  Forceps 6,  26,  28,  30,  44 

Forceps 119 

Forceps 18 

Needles 28 

Scissors 48 

Artificial  Eye 136 

Hand 21 

Leech 65 

Limb 107 

Muscles 38 

Nose 136 

Arrow  Extractor 2 

Ashton's  Fenestrated  Speculum.  62,  117 

Perineum  Needle 115 

Pile  Clamp 119 

Aspirators 131 

Aspirators 30 

Aspirator,  Fitch's  Handy 14 

Uterine 2 

Atlee's  Clamp 96 

Uterine  Dilator 78 

Atomizers 87,  88,  89,  90,  91 

Atomizers 6, 12, 15,  19 

Aural 34 

Auricles 54 

Auscultation  Instruments 81 

Resonator 9 

Auto-Insufflator 4 

Automatic  Suture 5 

Autopsic 93 

Auzoux's  Models 130 

Aveling's  Polyptome 99 

Transfusion  Apparatus 67 

Avery's  Ear  Forceps 47 

Awards back  of 


Part 
IV. 

I. 

S. 

I. 

I. 
III. 

s. 
III. 
III. 

IV. 

I. 

IV. 
IV. 

IV. 
IV. 

I. 
I. 
I. 
I. 
I. 
III. 
s. 
I. 
I. 

IV. 
IV. 

I. 

IV. 
IV. 
IV. 

s. 
III. 
III. 
III. 

I. 
III. 

s. 

s. 
III. 
III. 

II. 

s. 

II. 

II. 

I. 

s. 

s. 

s. 

I. 

I. 
III. 

I. 

II. 

book. 


Axillary  Thermometers 


Page    Part 
75        I. 


Baader's  Linear  Knife 32  II. 

Tattooing  Needle 33  II. 

Babcock's  Pessary 86  III. 

Bacon's  Patella  Support 135  IV. 

Bachelder's  Embryotomy  Forceps. .  110  III. 

Perforator Ill  III. 

Bag  Ear  Syringe. 49  II. 

Baker  Brown's  Clamp 97  III. 

Ball's  Double  Hook 25  II. 

Stem-Pessary 89  III. 

Speculum  Vaginse 66  III. 

Urethral  Probe 11  HI. 

Uterine  Dilator 78  III. 

Uterine  Dilator 13  S. 

Ball  and  Socket  Truss 13, 14  IV. 

Bandage,  Abdominal 17  IV. 

Bulkley's  Rubber 134  IV. 

Esmarch's 119  IV. 

Martin's  Rubber 134  IV. 

Roller 75  IV. 

Rubber 134  IV. 

Shears 103,  124,  133  IV. 

Umbilical 9  IV. 

Bank's  Urethrotome 1  S. 

Barnes'  Wire  Ecraseur 93  HI. 

Speculum  Vaginas 66  HI. 

Spirometer 98  II. 

Uterine  Dilators 77  IH. 

Barclay's  Stethoscope 81  I. 

Barker's  Ointment  Bougie 82  HI. 

Barwell's  Attachments 38  IV. 

Artificial  Muscles 38  IV. 

Clubfoot-Shoe 86  IV. 

Bates'  Psychrophor 17  S. 

Urethrotome 18  S. 

Bath,  Eye 27  II. 

Fumigation 48  HI. 

Hot  Air 92  IL 

Speculum 64  HI. 

Water 79  I. 

Water,  for  the  Arm  and  Fore- 
arm    115  IV. 

Water,  for  the  Lower  Extrem- 
ity    116  IV. 

Battery,  Caustic 112  I. 

Electric 103  I. 

Galvanic 100  I. 

Bauer's  Hip-Joint  Apparatus 44  IV. 

Wire  Breeches 44  IV. 

Baunscheidt's  Lebenswecker •    66  I. 

Oil 66  I. 

Bayonet  Tooth  Forceps 2,  3,  5,  6  V. 

Baxter's  Speculum 64  HI. 


Alphabetical  Index. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28th  St.,  N.Y. 


Page  Part 

Baxter's  Spray-Tube  Cleaner 123  I. 

Beard's  Base  Needles Ill  I. 

Current  Changer 109  I. 

Electrodes 105  I. 

Electrolysis  Needle Ill  I. 

Piesmeter 88  I. 

Stationary  Electrode 108  I. 

Beaumont's    Concealed    Canalicula 

Knife 10  II. 

Beds,  Fracture 57,  97,  104  IV. 

Bedford's  Guarded  Hook  Crotchet..  112  III. 

Obstetrical  Forceps 105  III. 

Obstetrical  Case 69  III. 

Perforator Ill  III. 

Beer's  Cataract  Knives 31  II. 

Cataract  Needle 33  II. 

Bell's  Ball  Probe 11  III. 

Urethral  Sound 11  III. 

Belocq's  Canula,  Epistaxis 58  II. 

Belt 17,  18  IV. 

Benique's  Case  of  Sounds 4  III. 

Sound-Curve 7  III. 

Bennett's  Posterior  Nares  Syringe . .     56  II. 

Bergson's  Steam  Atomizer 88  II. 

Bethel  Obstetrical  Forceps 108  III. 

Biart's  Speculum  Vagina 26  S. 

Bicuspid  Forceps,  Dental 2,  4  V. 

Bigelow's  Artery  Forceps 18  S. 

Catheter  Syringe 21  III. 

Evacuating  Apparatus 37  III. 

Evacuating  Apparatus 17  S. 

Lithotrite 37  III. 

Lithotrite 17  S. 

Bigg's  Bunion  Apparatus 39  IV. 

Short  Leg  Extension 26  IV. 

Bilroth's  Artery  Clamp 26  I. 

Sounding  Board 31  III. 

Bill's  Arrow  Forceps 2  S. 

Billing's  Tonsilotome 64  II. 

Bisector,  Wood's 38  III. 

Bistouries 6  I. 

Bistoury  Cache,  Civiale's 25  III. 

Cache,  Jaeger's 10  II. 

Cache,  Rectal 121,  122  III. 

Ear 44  II. 

Finger 6,46  I. 

Hernia 6,  46,  56  I. 

Probe-pointed 6,  46,  56  I. 

Sharp-pointed 6,  46,  56  I. 

Staphylorrhaphy 66,  67  II. 

Staphylorrhaphy 10  V. 

and  Tenotome 61  I. 

Bisulphate  of  Mercury 101  I. 

Bivalve  Anal  Specula 118  III. 

Ear  Speculum 34  II. 


Page  Part 

Bivalve  Nasal  Specula 55  II. 

Vaginal  Specula 60,  66  III. 

Blackmail's  General  Operating 

Case 7  I. 

Retractor 20  I. 

Bladder,  Evacuating  Apparatus. .  37,  44  III. 

Extrophy  Apparatus 47  III. 

Puncture 30  III. 

Tapping 30  III. 

Washing 44  III. 

Blake's  Inner  Ear  Mirror 44  II. 

Inner  Ear  Syringe 47  II. 

Obstetrical  Forceps 106  III. 

Polypus  Snare 45  II. 

Blakeley's  Resilient  Speculum  Va- 
ginae      52  III. 

Blanchet's  Cataract  Exhauster 33  II. 

Blandin's  Bone  Staff 16  I. 

Fistula  Knife 121  III. 

Bleeding,  Phlebotomy 66  I. 

Blitz's  Extirpation  Forceps 25  II. 

Blizard's  Lithotomy  Knife 40  III. 

Blood  Transfusion  Apparatus 67  I. 

Bloodless  Operations,  Esmarch's  ...   119  IV 

Blot's  Perforator Ill  III 

Blow-Pipe,  Self-acting 100  IH 

Blow-Pipe,  Post  Mortem 95,  99  1 

Blunt  Gorget,  Lithotomy 39  III 

Blunt  Hook,  Staphylorrhaphy 10  V 

Hook,  Trachea 93  U 

Hook  and  Crotchet,  Obstetri- 
cal   112  in 

Bodenhamer's  Anal  Fissure  Knife. .  121  III 

Bistoury  Cache 122  III. 

Blandin's  Knife 121  III. 

Curvilinear  Forceps 122  III. 

Endoscope,  Recto-Colonic  . . .  117  III. 

Fissure  Knife 121  III. 

•  Irrigator 83,  118  III. 

Rectal  Sounds 118  III. 

Recto  -  Colonic  Exploring 

Sound 121  III. 

Reflector 117  III. 

Spring  Ligating  Forceps 123  HI. 

Boisnot's  Patella  Splint 70  IV. 

Bolton's  Pile  Bougie 125  III. 

Bonafont's  Catheter  Holder 37  II. 

Nasal  SpeciJum 57  II. 

Bone  (Osteotomy) 8  I. 

'  Drills 8  I. 

Exsecting  Case 31  I. 

Forceps 6,  10,  12,  18,  22,  24  I. 

Bones,  Skeleton 130  I. 

Borated  Cotton 122  I. 

Boot,  Junod's,  Dry  Cupping 113  IV. 


Alphabetical  Index. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfakre. 


Page  Part 

Boston  Abdominal  Supporter 18  IV. 

Bottle,  Patent,  for  Hypodermic  Sy- 
ringe   , 15  S. 

Bougie,  a  Boule , 9,  11  III. 

a  Trois  Nceuds 9,  11  III. 

Conique 9  III. 

Conique  a  Ventre 9  III. 

Filliform 9,  11  III. 

Olivaire 9  III. 

Olivaire  a  Ventre 9,  11  III. 

Esophageal 84  II. 

Ointment 21  III. 

Otis',  a  Boule 11  III. 

Pile 124  III. 

Rectal 117  III. 

Urethral 9  III. 

Bow  Abdominal  Supporter 16  IV. 

Leg  Brace 35  IV. 

Pessary,  Fowler's 23  S. 

Saw 3  I. 

Spring  Truss 10  IV. 

Umbilical  Truss 9  IV. 

Bowman's  Cataract  Exhauster 33  II. 

Director 6  II. 

Canalicula  Knife 8  II. 

Probes 6  II. 

Stop-Needle 33  II. 

Bozeman's  Angular  Scissors 70  III. 

Angular  Scalpel 68  III. 

Button 72  III. 

Button  Adjuster 68  III. 

Button  Shaper 72  III. 

Blunt  Hook 68  III. 

Case  of  Instruments 63  III. 

Curved  Scissors 70  III. 

Depressor 68  III. 

Dressing  Forceps 74  III. 

Double-Curved  Scissors 71  III. 

Duck-Bill  Speculum 62  III. 

Needles 72  III. 

Needle  Carriers 72  III. 

Operating  Chair 125  I. 

Perineal  Elevator 13  V. 

Scalpels 68  III. 

Scissors 70,71  IIL 

Speculum  Vaginae 56  III. 

Tenaculum 68  III. 

Vaginal  Support 18  S. 

Vesico  -  Vaginal    Fistula 

Case  of  Instruments  ...     63  III. 

Wire  Adjuster 68  III. 

Brace  Trepan .- . .     20  I. 

Brain  Knife 95  I. 

Brainard's  Bone  Drills 8  I. 

Braun's  Abdominal  Supporter 18  IV. 


Page  Part 

Braun's  Cephalotrite 114  IIL 

Colpeurynter 90  III. 

Trephine  Perforator 114  III. 

Uterine  SjTinge 83  III. 

Braxton  Hick's  Ecraseurs 92,  93  III. 

Brewer's  Speculum  Vaginae 58  HI. 

Briddon's  Artery  Compressor 36  I. 

Bridge's  Auto-Insufflator 4  S. 

Nasal  Douche 4  S. 

Brickell's  Obstetrical  Case 69  HI. 

Obstetrical  Forceps 107  III. 

Perineal  Stay 116  HI. 

Brigg's  Lithotome 41  III. 

Bristle  Probang 83  II. 

Probang 5  S. 

Brush  Holders 29,  84,  85  II. 

Holders 121  HI. 

Bronchotomy,  Tracheotomy 93  II. 

Brown  (see  Brauu). 

Brown's  Clamp 97  HI. 

Pessary  ....   14  V. 

Spirometer 98  II. 

Bruns'  Bandage  Shears 133  IV. 

Epiglottis  Pincette 82  II. 

Brunton's  Otoscope 34  II 

Buck's  Arterial  Compressor 34  I. 

Bistoury,  Ear 44  IL 

Chain-Saw  Conductor 14  I. 

Cotton  Holder,  Ear 44  IL 

Curette,  Ear 44  II. 

Drills 8  I. 

Drills 50  II. 

Ear  Case 46  IL 

Ear  Instruments 44  II. 

Ear  Nozzle 50  II. 

Extension  Apparatus 61  IV. 

Fracture  Apparatus 59  IV. 

Furuncle  Knife 44  II. 

General  Operating  Case .  .  5  I. 

Mastoid  Process  Knife 44  II. 

Maryngotome 44  II. 

Pin  Conductor 59  II. 

Port  Acid  Glass 44  II. 

Probe,  Ear 44  II. 

Rectum  Trocar 30  III. 

Sponge  Holder 84  II. 

Staff 29  IIL 

Suspension  Apparatus 110  IV. 

Tracheotomy  Guide 93  II. 

Throat  Forceps 82  IL 

Throat  Lancet 82  II. 

Weights  and  Pulleys 61  IV. 

Budd's  Obstetrical  Case 69  III. 

Obstetrical  Forceps 104  IIL 

BuU-Dog  Artery  Forceps 44  I. 


AliPHABETIOAL  InDEX. 

67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  SSth  St.,  N.Y. 


Page  Part 

Bull-Dog  Forceps,  for  Gastric  Fistula  99  I. 

Bullet  Forceps 40  I. 

Instruments 40  I. 

Probes 42  I. 

Bulkley's  Rubber  Bandage 134  IV. 

Bumstead's  Canulated  Forceps 45  II. 

Case  of  Sounds 13  HI- 

Case  of  Urethral  Instru- 
ments   13  in. 

Holt's  Dilators 24  III. 

Lamp 48  III. 

Maisonneuve's  Urethrotome . .  26  III. 

Retention  Catheter. 13  III. 

Sound  Curve 7  III. 

Urethral  Syringe 21  III. 

Urethrotome 27  III. 

P.  P.  Syringe 23  III. 

Bunion  Apparatus,  Bigg's 39  IV. 

Bunsen  Burner 79  I. 

Burette 78  I. 

Mohr's 79  I. 

Burge's  Dilators 33,  24  III. 

Fracture  Apparatus 65  IV. 

Throat  Forceps 83  II. 

Burnett's  Mastoid  Knife 50  II. 

Burrall's  Atomizer 12  S. 

Burrow's  Stethoscope 81  I. 

Bush's  Gorget 41  III. 

Pile  Needles 133  III. 

Pile  Scissors 134  III. 

Butcher's  Saw 6  I. 

Buttle's  Inhaler 39  II. 

Gonorrhcea  Syringe 32  III. 

Pessary 88  III. 

Scarificator 74,  80  III. 

Tenaculum 74  III. 

Uterine  Case 53  III. 

Buzzle's  Obstetrical  Forceps 103  III. 

Byf ord's  Clamp 95  III. 

Byrd's  Wire  Gauze  Splint 55  IV. 

Byrne's  Cautery  Battery 100  III. 

Double  Spring  Tenaculum. . .  119  III. 

Reflux  Catheter 82  III. 

Speculum  Vaginse 60  III. 

Tenaculum  Forceps 97  III. 

Uterine  Fixator 98  III. 

Vulsellum 98  III. 

Calculus,  Urethral 45  III. 

Vesical 31  III. 

California  Brush  Holder 84  II. 

General  Operating  Case . .  21  I. 

Callender's  Drainage  Tube 101  III. 

Calvarian  Hook 95  I. 

Cammann's  Auscultators 83  I. 


Page  Part 

Campbell's  Tumor  Forceps 98  III. 

Cane  Ear  Trumpet 54  II. 

Canula,  Epistaxis 58  II. 

Gooclie'8 133  III. 

Lachrymal 10  II. 

Nasal  Polypus 57  II. 

Trachea 94,  95  II. 

Capital  Operating  Case 3  I. 

Operating  Case 27  I. 

Operating  Case 29  I. 

Saw 2  I. 

Carbolized  Cotton 122  I. 

Gauze 122  I. 

Ligature 123  I. 

Oiled  Silk 122  L 

Rubber  Cloth 133  I. 

Cardiometer 84  I. 

Carey's  Lever,  Placenta 110  III. 

Caries  of  Spine  Apparatus 8  IV. 

Caro's  Nasal  Clamp 56  II. 

Vertebrated  Catheter 13  III. 

Carroll's  ^sthesiometer 86  I. 

Knot  Tyer 28  I. 

KnotTyer 122  IIL 

Retroflexion  Pessary 19  S. 

Stethometer 84  I. 

Vaccinator 66  I. 

Carron  de  Villard's  Eye  Forceps . .  25, 36  II. 

Eye  Needle 37  II. 

Cartilage  Knife 6,  94,  99  I. 

Carved  Wood  Splints 67  IV. 

Casella's  Thermometer 76  I. 

Cataract  Instruments 31  II. 

Knives 31  II. 

Needles 33  II. 

Scissors 31  II. 

Catarrhal  Douche 90  II. 

Syi'inge 56  II. 

Catgut  Ligature 133  I. 

Catheters 13,  15, 18,  19,  30,  31  III. 

Case  of 16  III. 

Compound 30  IIL 

Double  Current 45,  83  III. 

Eustachean 37  II. 

Guages 3,5,6  IIL 

Holder 20  IIL 

Prostatic 13  IIL 

Rubber,  Soft 18  III. 

Sigmoid 68  IIL 

Syringes 21,33  IIL 

Urethral 13  IIL 

Velvet  Eye 11  S. 

Vulcanized 16, 18  IIL 

Catling 4  I. 

Cautery,  Actual 100,118  IIL 


Alphabetical  Index. 


GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edwabd  Ppakke. 


Page  Part 

Cammann's  Cardiometer 84  I. 

Stethoscope  . . ._ 82  I. 

Cauter)",  Ecraseur , 100  III. 

Electrodes 113  I. 

Electrodes 32  S. 

Galvano 112    I.    100  III. 

Irons 100,118  III. 

Thermo 134  I. 

Caustic  Holders 50,52  I. 

Holders 45,  85  II. 

Holders..  20,21,74,76,82,83,120  III. 

Probe 85  II. 

Probe 76  III. 

Syi-inge 21  III. 

Cedar  Stethoscope 81  I. 

Cephalotrite 113,  114  III. 

Ceratome  (Keratome) 30  II. 

Chadwick's  Pterigium  Scissors 29  II. 

Chain  Hook 94  I. 

Saw 14  I. 

Saw  Carrier 14  I. 

Chamber's  Stem  Pessary 77  III. 

Chamberlain's  Pessary 87  III. 

Chapman's  Nasal  Spray 90  II. 

Probe  Sound 73  III. 

Uterine  Scarificator 80  III. 

Charriere's  Luxation  Forceps 88  IV. 

Stricture  Cutter 26  III. 

Tourniquet 32  I. 

Chassaignac's  Drainage  Trocar  ....  101  III. 

Ecraseur 92  IIL 

Trachea  Dilator 94  II. 

Chase's  Trass 12  lY. 

Umbilical  Truss 9  IV. 

Cheatham's  Ether  Inhaler 117  I. 

Cheek  Retractors 66,  67  II. 

Child's  Brush 29,85  IL 

Caustic  Case 85  II. 

Children's  Umbilical  Trusses 10  IV. 

Chisels 24,95,97  I. 

Chisolm's  Ether  Inhaler 116  I. 

Chloroform  Inhaler 116  I. 

Church's  Tongue  Depressor 63  II. 

Cilia  Forceps 2  II. 

Cintrat's  Ligator 93  III. 

Circumcision,  Phymosis 1  III. 

Circular  Saw,  Graefe's 18  I. 

Tiemann's 14  I. 

Civiale's  Bistoury  Cache 25  III. 

Lithotriptor 35  III. 

Urethrotome 26  III. 

Clamp,  Harelip 59  II. 

Nasal 56  II. 

Ovariotomy , 94  III. 

Pile 121  III. 


Page  Part 

Clamp,  Scrotal 46  III. 

Clark's  Fracture  Splint 96  IV. 

Clark's  Nasal  Douche 56  II. 

Olecranon  Splint 94  IV. 

Otoscope 35  II. 

Stethoscope 81  I. 

Tooth-edged  Scissors 81  III. 

Clavicle,  Dislocated 24  IV. 

Fracture  Apparatus  ...  76,  91,  92  IV. 

Sayre's  Dressing 77  IV. 

Clay's  Powder  Insufilator 86  II. 

Powder  Insufflator 84  III. 

Cleborne's  Pocket  Instrument 14  S. 

Double  Forceps 26  S. 

Tenaculum  Needle,  &c 14  S. 

Clearing  Bladder  of  Debris 44  III. 

Climax  Uterine  Dilator 78  III. 

Clinical  Thermometers 75  I. 

Clover's  Mouth  Gag 60  II. 

Clubfoot,  Barwell's  Attachments. . .     38  IV. 

Clubfoot-Shoe,  Barwell's 86  IV. 

Sayre's 30  IV. 

Shaffer's 23  S. 

Tiemann's 29  IV. 

Clyster,  Enema 120  III. 

Coaptation  Splints 67  IV. 

Codman's  Aspirator 133  I. 

Cold  and  Heat,  Application  of..  117,120  IV. 

Cold  Sound,  Psychrophor 12  S. 

Coleman's  Pessary 21  S. 

CoUe's  Fracture  Apparatus 79  IV. 

Collin's  Lamp 79  II. 

Colonic  Exploring  Sound 121  III. 

Colpeurynter 90  III. 

Combination  Supporter 132  IV. 

Comedone  Extractor 11  V. 

Common  Truss 13  IV. 

Compact  Amputating'  Case ....       1  I. 

Field  Case 57  I. 

Minor  Operating  Case  ...     37  I. 

Operating  Case 59  I. 

Compound  Catheter 52  I. 

Catheter 20  III. 

Compress,  Arterial 34  I. 

Seminal  Cords 134  IV. 

Comstock's  Obstetrical  Forceps. . . .  107  III. 

Conant's  Knife  and  Saw 4  I. 

Operating  Case 19  I. 

Stem-Pessary 90  III. 

Conical  Steel  Sounds 7  III. 

Conjunctiva  Instruments 29  II. 

Contracted  "Wrist  Apparatus 135  IV. 

Constant  Current  Battery 100  I. 

Constipation  Tube,  O'Biern's 101  II. 

Conversation  Tube 43,  53  II. 


ALPHABETICAIi  IndEX. 

C7  CHATHAM  STREET,  NEW  YORK. 
Branch  Stoke,  107  East  28th  St.,  N.  Y. 


Page  Part 

Cooper's  Clavicle  Bandage 24  IV. 

Hernia  Knife 6,  56  I. 

Hernia  Knife 121,  126  III. 

Coover's  Splint,  for    Fractures   of 

Arm  and  Hand 130  IV. 

Cord  Carrier,  Obstetrical 105  III. 

Seminal,  Compress 134  IV. 

Corn  Instruments 12  V. 

Knife 12  V. 

File 12  V. 

Corneal  Instruments 29  II. 

Section  Knife 31  II. 

Cornets,  Ear 51  II. 

Corradi's  Dilator 23  III. 

Couching  Needle 27  II. 

Counter-Extension  Apparates  ...  61,  83  IV. 

Irritation  Instrument 66  I. 

Costotome,  Chisel 95  I. 

Shears 18  I. 

Cotton  Holder,  Ear 44  II. 

Lint,  Von  Brun's 56  IV. 

Cowan's  Vertebrated  Catheter 13  III. 

Cowhorn  Tooth  Forceps 3  V. 

Coxeter's  Artery  Forceps 44  I. 

Stem-Pessary 90  III. 

Cradle,  Salt's 96  IV. 

Crampton's  Artery  Needles 26  I. 

Craniotomy  Forceps 113  III. 

Cranioclast .113  III. 

Critchet's  Hooked  Needle . 31  II. 

Lens  Scoops 31  II. 

Crosby's  Pocket  Case 51  I. 

Crotchets,  Obstetrical 112  III. 

Croup  Kettle 92  II. 

Crown  Trephine 12  I. 

Crutches 85  IV. 

Cupped  Sound,  Van  Buren's 21  III. 

Cupping,  Bloody 64  I. 

Cases  of  Instruments  ....  64  I. 

Cup 64  I. 

Dry 112  IV. 

Pump 64  I. 

Curette  (Spoon,  Scoop),  Bone' 22  I. 

Ear 44,  45  II. 

Eye 27  IL 

Forceps 13  V. 

Rectal 120  III. 

Siemon's 74  III. 

Sims' ■ 74  IIL 

Uterine 74  III. 

Currie's  Double  Canulated  Needle  .  20  S. 

Curtis'  Section  Knife 91  I. 

Curvature,  Spine,  Brace 2  IV. 

Tibia,  Brace 37  IV. 

Curves,  Proper,  for  Urethral  Inst's.  7  III. 


Page  Part 

Cusco's  Speculum  Vaginaj 58  IIL 

Throat  Forceps 82  II. 

Tongue  Forceps 63  II. 

Cutisector,  Piflfard's 92  I. 

PilTard's 11  V. 

Cutter's  Auto-Laryngoscope. .....  78  II. 

Pessary 86  III. 

Ring-Pessary 91  III. 

Cyrtometer,  Flint's 84  I. 

Cystitis  Eyelet 14  V. 

Cystocele  Pessary,  Skene's 18  S. 

Cystotomes,  Eye 31  II. 

Darby's  Bone  Holder 24  I. 

Chisels 24  I. 

Clamp 95  III. 

Compact  Operating  Case.  59  I. 

Gouge 24  I. 

Levator 24  I. 

Osteotome 24  I. 

Rongeur 24  I. 

Darling's  Chain  Hook 94  I. 

Dissecting  Case 96  I. 

Scalpel 95  I. 

Daviel's  Curette 27  II. 

Davies'  Pessary 86  III. 

Davis'  Hernia  Instrument 126  III. 

Hip- Joint  Splint 41  IV. 

Obstetrical  Forceps 105  III. 

Spine  Brace 8  IV. 

Stethoscope 83  I. 

&  Kidder's   Electric    Ma- 
chine    103  I. 

Davidson's  Syringe 82  III. 

Dawson's  Galvano-Caustic  Bat- 
tery    112  I. 

Cautery  Electrode 113  I. 

Clamp,  Ovariotomy 94  III. 

Speculum  Vaginae 62  III. 

Sims'  Speculum 67  III. 

Vaccinator 66  I. 

Debris  Evacuators 44  IIL 

Instruments 44  III. 

Tube 44  HI. 

Decapitating  Hook 113  III. 

Deformity  Apparatus IV. 

Delaborde's  Tracheal  Dilator 94  II. 

De  la  Roza's  Fixation  Forceps 25  IL 

Iris  Needle 30  II. 

Dennison's  Absorbent  Cotton 122  I. 

Denison's  Extension  Windlass 118  IV. 

Denman's  Obstetrical  Forceps 103  III. 

Dental  Instruments V. 

Depilator,  Henry's 2  II. 

Henry's '46  HL 


Alphabetical  Index. 

GEO.  TIEMANN  &  CO'.S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


Page  Part 

Depressor,  Tongue 61  II. 

Vaginal 68  III. 

Dcpuytren's  Bistoury  Cache, 41  III. 

Enterotome 125  III. 

Lithotomy  Scalpel 40  III. 

Splint  ..~ 99  IV. 

Dermatotomy 90,  92  I. 

Derraatological 10,  11  V. 

Desmarre"s  Cautery  Iron 8  II. 

Entropium  Forceps 1  II. 

Many-pronged  Hoolv 8  II. 

Paracentesis  Trocar 29  II. 

Eyelid  Retractors 4  II. 

Scarificator 8  II. 

Trocar 29  II. 

Desormeaux's  Endoscope 2  III. 

Detmold's  Metacarpal  Saw 12  I. 

General  Operating  Case . .     21  I. 

Devil's  Screw-Hook 46  II. 

Dewee's  Placenta  Hook 110  III. 

Diagnostic  Instruments 74  I. 

Diapason 43  II. 

Dick's  Bougie  a  Boule 9  III. 

Caustic  Syringe 21,  83  III. 

Dicken's  Speculum  Vaginas 60  III. 

Dieulafoy's  Aspirator 131  I. 

Aspirator 30  III. 

Differential  Stethoscope 83  I. 

Dilators,  Barnes" 77  III. 

Lithotrity 43  III. 

Meatus  Urinarius 2  III. 

CEsophageal 84  II. 

Rectal 118  III. 

Sponge 14  V. 

Steurer's 12  S. 

Tracheal 93,  94  II. 

Tupelo 11  S. 

Urethral 23  III. 

Uterine 77,  78,  79  III. 

Uterine 13  S. 

Vaginal 66  IIL 

Diony.sius'  Ear 53  II. 

Dipper  Ear  Trumpet 52  II. 

Directors 44,  61  I. 

Directors 122  III. 

Hernia 126  III. 

Direct  Light  Concentrator 78  II. 

Pressure  Tourniquet 38  I. 

Dislocation,  Clavicle 24,  92  IV. 

Phalanges 82  IV. 

Pulleys 81  IV. 

Radius  et  Ulna 93  IV. 

Shoulder 24  IV. 

Displacements,  Uterine 85,  86  III. 

Dissecting  Cases 96  I. 


Page  Part 

Dissecting  Forceps 99  I. 

Hooks 94  I. 

Instruments 94  I. 

Scissors 50  I. 

Dittel's  Elastic  Ligature 125  HI. 

Division  Catheter  (double  current). .     45  III. 

Divulsor,  Anal 119  HI. 

Urethral 23  III. 

Dix'sSpud 27  H. 

Dobell's  Residual  Air  Pump 92  II. 

Stethoscope 81  I. 

Tongue  Forceps 61  II. 

Doisneau's  Compress 134  IV. 

Dolbeau's  Dilator 43  III. 

Guide  for  Lithoclast 39  HI. 

Lithoclast 39  HI. 

Dome  Top  Speculum 62  HI. 

Trocar 102  III. 

Donder's  Ear  Spout 49  II. 

Double  Current  Catheter 45,  82  HI. 

Hook,  Operating 6  I. 

Hook,  Eye 25  II. 

Inclined  Plane  Splint ....  67,  104  IV. 

Rachitome 97  I. 

Tenaculum 98  HI. 

Tenaculum  Forceps 97,  98  HI. 

Douche,  Catarrhal 90  II. 

Ear 49,  50  II. 

Eye 27  II. 

Nasal 56,  57,  58  II. 

Nasal 4  S. 

Universal 102  II. 

Vaginal 82,  84  III. 

Dowell's  Gorget 40  HI. 

Hernia  Needle 126  HI. 

Speculum  Vaginae 62  HI. 

Staff 40  HI. 

Dowse's  Self -Retaining  Catheter  ...     15  III. 

Drainage  Instruments 101  HI. 

Tubing 101  IIL 

Draper's  Obstetrical  Forceps 106  HI. 

Dressing  Forceps,  Pocket 50,  52  I. 

Forceps,  Uterine 74  HI. 

Forceps,  Uterine 13  V. 

Scissors,  Pocket 52  I. 

for  Wounds 122  I. 

Drills,  Osteotomy 8,  14  I. 

Mastoid  Process 50  II. 

Drop  Glass,  Eye 6  II. 

Tube,  Stoerk's 86  II. 

Drum,  for  Testing  Instruments  ....       7  II. 

Dry  Cupping 81  IIL 

Cupping 112  IV. 

Dissecting  Knives 48  I. 

Duchenne's  Electrodes  . . .  106, 107, 108  I. 


Alphabeticai^  Index. 

67  CHATHAM  STREET,  NEW  YORK. 
Bkanch  Store,  107  East  28th  St.,  N.  T. 


Page  Part 

Duclienne's  Exploring  Trocar 90  I. 

Dudley's  Fixation  Forceps 25  II. 

Cataract  Scissors 'SI  II. 

Needle  Holder 16  S. 

Ophthalmoscope 14  II. 

Dugas'  Abdominal  Supporter 18  IV. 

Caustic  Case 50  I. 

Dressing  Case 47  I. 

Pocket  Case 47  I. 

Dunster's  Thermometer 75  I. 

Duplay's  Dilator 43  III. 

Rhinoscope    58  II. 

Durham's  Seizing  Forceps 63  II. 

Trachea  Canula 95  II. 

Dynamograph 89  I. 

Dynamometer 88  I. 

Ear 34  n. 

Apparitor  Auris 13  S. 

Cases  of  Instruments . .  36, 

38,  40,  42,  46,  48  II. 

Caustic  Holder ,     45  II. 

Cornets 51  n. 

Curette , 45  H. 

Douches 49,  50  II. 

Forceps 45  n. 

Instruments 34  H. 

Manometer 43  H. 

Mirrors 34  H. 

Piercer 34  n. 

Polypus  Forceps 47  II. 

Probe 43,  44  II. 

Powder  Blower 49  H. 

Specula 34  n. 

Spoon 45  II. 

Spouts 49  II. 

Syringes 49  n. 

Trumpets 51  n. 

Ecraseurs 92  m. 

Ecraseurs 5  g 

Cautery II3  i. 

Cautery 100  HI. 

Laryngeal 84  II. 

Echoscope,  Speir's 83  I. 

Edward's  Caustic  Holder 74  m. 

Ecraseur 92  m. 

Pessary 90  m. 

Eiterbecken  (Pus  Basin) 49  n. 

Elastic  Belt I7  ly 

Caustic  Holder 45  n. 

I^igature 125  HI. 

Probe 121  m. 

Stockings 53  ly. 

Electric  Batteries lOO  I. 

Disk 104  I. 


Page    Part 
Electro-Surgery l  ]  1         i. 

Therapeutic 100        I. 

Electrodes 105        I. 

Electrodes 32        S. 

Care  of 109        I. 

Electrolysis no        I. 

Conductors HO        I. 

Elbow,  Anchylosis  Appai-utus 23     IV. 

Splint,  Andrew's 123     IV. 

Splint,  Hamilton's 91     IV. 

Elevating  Forceps,  Dental 7      V. 

Elevators,  Root 9       y. 

Trepanning 10,  14        I. 

Uterine 75    m. 

Ellinger's  Uterine  Dilator 79    HI. 

Elliott's  Obstetrical  Case 71     HI. 

Obstetrical  Forceps 104    III. 

TJterine  Case 57    m. 

Uterine  Sound 76    III. 

Elliottson's  Stethoscope 81        I. 

Ellis'  Drainage  Spiral 101    III. 

Elsberg's  Ear  Hook 46      II. 

Insufflator 85      II. 

Nasal  Speculum 55      H. 

Pocket  Laryngoscope 78      II. 

Tongue  Depressor 62      II. 

Ely's  Siegle's  Otoscope 42      II. 

Embalming 93        i 

Pump 93        I. 

Embryotomy  Instruments 110    III. 

Emmett's  Applicator 73    m. 

Aspirator 132        I. 

Counter-pressure  Hook 13       y. 

Curette  Forceps 13      y. 

Cystitis  Eyelet 14      y. 

Double  Tenaculum 13      y. 

Ecraseur 92    m. 

Enucleator 13      y. 

Fistula  Tube 14      y. 

Needle  Forceps 13      y. 

Ring  Pessary 88    IIL 

Scissors 70    m. 

Set  of  Instruments  in  a 
Pouch,  on  page  34,  Price- 
List. 

Speculum  Vaginae    54    III. 

Sponge  Dilator 14       y. 

Tenacula 57    m. 

Twisting  Forceps 13      y. 

Trocar loi    m. 

Uterine  Dilator 78    III. 

Uterine  Elevator 75    m. 

Uterine  Knife 80    HI. 

Uterine  Tourniquet 14      y. 

Emplastrum  Adheesivum 73    IV. 


ALrHABETICAL   InDEX. 


10  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmai^n.  Edward  Pfarke. 


Page  Part 

Enema  Apparatus 84,  120  III. 

Enderinic,  Hypodermic 70  I. 

Endoscopes 2, 117  III. 

Endoscopes 17  S. 

English  Sound  Guage 6  III. 

Enos'  Minor  Operating  Case ...     35  I. 

Entcrotome 95  I. 

Entropium  Forceps 1  H- 

Enucleator,  Eye 25  II. 

Emmett's 13  V. 

Sims' 99  III. 

Yarrow's 17  S. 

Epiglottis  Pincette 83  II. 

Epilatiug  Forceps,  Piffard's 11  V. 

Epistaxis  Canula 58  II. 

Clamp 56  II. 

Tampon 56  II. 

Erichson's  Arterial  Compressor. ...     34  I. 

Errors  of  Refraction,  Apparatus  ...     10  S. 

Esmarcli's  Bandage  Shears 133  IV. 

Bandage  Clamp 34  I. 

Tourniquet 119  IV. 

Ether  Inhalers 114  I. 

Eugene  Abdominal  Supporter 16  IV. 

Eustachean  Canal 39,  41  II. 

Catheter 37,43  II. 

Catheter  Holders 37  II. 

Evacuating  Apparatus,  Bladder..  37,44  III. 

Eversion,  Feet,  Apparatus 38  IV. 

Eves' Minor  Operating  Case. . .     35  I. 

Excising  Forceps,  Dental 7  V. 

Exhibition  Pocket  Case 49  I. 

Expellers,  Sponge  Tent 73,  76  III. 

Exploring  Director 44  I. 

Eustachean  Canal 43  II. 

Needle 90  I. 

Trocar 90  I. 

Trocar 48,123  III. 

Urethral 9  III. 

Uterine 73  III. 

Exsection  (Osteotomy) 8  I. 

Saws 14  I. 

Case 31  I. 

Extension,  Short  Leg 25,  26  IV. 

and  Counter-Extension. . .  81, 118  IV. 

External  Urethrotomy 28  III. 

Extirpation  Forceps 25  II. 

Extrophy  of  Bladder,  Apparatus. . .     47  III. 

of  Bladder,  Apparatus 20  IV. 

Eye,  Artificial 136  IV. 

Bath,  Glass 27  II. 

Cases  of  Instruments. .  3, 

5,7,9,11,13,24,26,28  II. 

Douches 27  II. 

Douches 12       S. 


Page  Part 

Eye,  Fixation  of ' .     25  II. 

Foreign  Bodies  in 27  II. 

Gouge 27  IL 

Instruments 1  II. 

Knives. 8, 10,  30,  31,  32,  33  II. 

Lid  Instruments 1  II. 

Needles 27  II. 

Specula 4  II. 

Syringes 6  II. 

Scissors 8,  12,  29,  30,  31,  33  II. 

Trial-Cases 23  II. 

Fahnestock's  Tonsilotome 65  II. 

False  Joints,  Apparatus 40,  107  IV. 

Farabeuf  s  Osteophor 12  I. 

Fauvel's  Laryngeal  Forceps 83  II. 

Feeding  Tubes 101  II. 

Ferguson's  Lion-Jaw  Forceps  ...  10,  22  I. 

Lithotrite 34  III. 

Mirror  Speculum 62  III. 

Sequestrum  Forceps  .... 10  I. 

Stethoscope 82  I. 

Tubular  Speculum  Vaginae.  52,62  III. 

Feet,  Bones 130  I. 

Eversion  Apparatus 38  IV. 

Flat,  Apparatus 26  IV. 

Fehlich's  Flask 78  L 

Femur,  Fracture  Apparatus 55,  62  IV. 

Ununited  Fracture 40, 107  IV. 

Fenestrated  Artery  Forceps 30  I. 

Ear  .Scoop 45  II. 

Lens  Scoop 31  II. 

Fever  Thermometers 75,  76  I. 

Fibula  Fracture  Apparatus 73,  99  IV. 

Field  Tourniquet 32  I. 

Filiform  Bougie 9,  11  III. 

Filtration  Apparatus 79  I. 

Finger  Brush  Holder 84  II. 

Knife  (Bistoury) 6,  46  I. 

Luxation  Apparatus 82,  83  IV. 

Protector '94  II. 

Pad  Truss 14  IV. 

Sponge  Holder 84  II. 

Finnell's  Knife  and  Saw 97  I. 

Post  Mortem  Case 96  I. 

Fischer's  Iris  Forceps 33  II. 

Fisher's  Phymosis  Forceps  .... 1  III. 

Fistula  Lachrymalis  Knives 8,  10  II. 

Tube,  Emmett's 14  V. 

Fitch's  Abdominal  Supporter 16  IV. 

Aspirator  Needles 102  III. 

Clamp  Forceps 102  IIL 

Dome  Trocar 102  IIL 

Handy  Aspirator 134  I. 

Handy  Aspirator 14  S. 


Alphabetical  Index. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28th  St.,  N.  Y. 


11 


Page  Part 

Fitcli's  Wire  Twister 9  S. 

Fixation,  Eye-Ball 35  II. 

Forceps 25  II. 

Flat  Foot  Apparatus 26  IV. 

Flexible  Stethoscope 81  I. 

Flint's  Cyrtometer 84  I. 

Percussor 82  I. 

Physiological  Case 97  I. 

Pleximeter 82  I. 

Trocar 102  III. 

Urine  Test  Apparatus  ...     77  I. 

Folding  Litter 85  IV. 

Tongue  Depressor 62  II. 

Uterine  Sound 76  III. 

Vectis 105  III. 

Folsom's  Nasal  Speculum 55  II. 

Truss., 15  IV. 

Forceps,  Alligator 45  III. 

Arrow -Extracting 2  S. 

Artery 6,  26,  28,  30,  44  I. 

Artery 119  III. 

Artery 18  S. 

Bone-Cutting. 6,  10,  18  I. 

Bone-Holding 10,  12,  22,  24  I. 

Bull-Dog 44,99  I. 

Bullet..., 40,42  I. 

Canulated 32,45  II. 

Caustic 74  III. 

Cilia 2  II. 

Clamp 30  I. 

Clamp 96  III. 

Conjunctiva 7  II. 

Craniotomy 113  III. 

Curvilinear 123  III. 

Dental V. 

Depilating 3  II. 

Depilating 46  III. 

Dilating 78  III. 

Dissecting 99  I. 

Dressing 50,  53  I. 

Dressing 74,119  III. 

Dressing 13  V. 

Ear 45,  46,  47  II. 

Embryotomy 110  III. 

Entropium 1,  3  II. 

Epiglottis 83  II. 

Epilating 11  V. 

Extirpation 25  II. 

Eye 35  II. 

Eyelet 37  II. 

Fenestrated 30  I. 

Fixation 25  II. 

Gouge 12  I. 

Gouging  (Rongeur) 24  I. 

Gouging  (Rongeur) 50  II. 


Page  Part 

Forceps,  Gullet,  Throat 82,  83  II. 

Hsemorrlioidal 121,  122  III. 

Harelip 59,  CO  II. 

Iris 30,  32,  33  II. 

Laryngeal 81,  82  II. 

Lens 32  II. 

Ligature 26  I. 

Ligating 123  III 

Lithotomy 39,41,42  IIL 

Luxation 82,  83  IV. 

Microscopic 92  I. 

Midwifery 103  III. 

Nail-Extracting 12  V. 

Nail  Nippers 12  V. 

Nasal 57  II. 

Necrosis 10,  12  I. 

Needle-Holding 63  I. 

Needle-Holding 10  II. 

Needle-Holding 68,  72,  123  III. 

Needle-Holding 13,  14  V. 

Needle-Holding 5,  26  S. 

Needle 32  II. 

Obstetrical 103,  105  III. 

Obstetrical 1,  13  S. 

Phymosis 1  III. 

Pile 119  III. 

Placenta 110  IIL 

Polypus 45,  57  11. 

Polypus 98,99  IIL 

Punching 81  III. 

Rongeur 24  I. 

Rongeur 50  II. 

Roof 4,  5,  6  V. 

Sac 96,97  IIL 

Saw 113  IIL 

Seizing 63,  66,  67  II. 

Seizing 68,  115  III. 

Sequestrum 10,  34  I. 

Sequestrum 13  V. 

Shrimpton 96  IV. 

Slide-catch 44  L 

Slide-catch 119  IIL 

Spring-catch 30,  44  I. 

Spicula 7  V. 

Splitting 7  V. 

Sponge 68  III. 

Self -holding 30  I. 

Strabismus 12  II. 

Tenaculum 26  I. 

Tenaculum 63  II. 

Tenaculum 98  III. 

Tenaculum 14  S. 

Throat 82,  83  II. 

Tissue 96  IIL 

Tongue 61,63  U. 


12 


Alphabetical  Index, 

GEO.  TIEMANN  &  CO'.S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfabke. 


Page  Part 

Forceps,  Tooth 1  V. 

Torsion , 28,30,54  I. 

Torsion , 94  III. 

Trachea] 94,95  II. 

Trepanning 24  I. 

Trichiasis 2  II. 

Twisting 66  II. 

Twisting 68  III. 

Twisting 13  V. 

Twisting 9  S. 

Urethral 45  III. 

Universal  Tooth 4  V. 

Universal  Tracheal 94  II. 

Uterine 74  III. 

Vulsellum 63,  64  II. 

Vulsellum 98  III. 

Wire  Cutting 63  I. 

Wire  Twisting 68  III. 

Wire  Twisting 13  V. 

Wire  Twisting 9  S. 

Wisdom 2  V. 

Foreign  Bodies,  Ear. . .  45,  46,  47,  49, 50  II. 

Bodies,  Eye 27  II. 

Forearm,  Ununited  Fracture 109  IV. 

Four-bladed  Pocket  Instrument 60  I. 

Four-fold  Pocket  Case 41,  47  I. 

Foster's  Operating  Table 125  I. 

Fountain  Syringe 102  II. 

Fowler's  Pessary 91  III. 

Bow  Pessary 23  S. 

Fox's  Clavicle  Apparatus 77,  91  IV. 

Fracture  Apparatus 54  IV. 

Arm  and  Forearm  Apparatus,    94  IV. 

Beds 57,  97,  105  IV. 

Colic's,  Apparatus 79  IV. 

Clavicle  Apparatus 76,  91,  92  IV. 

Dressing,  new 67  IV. 

Elbow  Apparatus 91  IV. 

Femur  Apparatus 58  IV. 

Fibula  Apparatus 73  IV. 

Humerus,  Neck  92  IV. 

Lower  Maxillary 75  IV. 

Olecranon 94  IV. 

Patella 68  IV. 

Tibia 73  IV. 

Ununited,  Apparatus. ...  21, 

40,  106,  107,  108,  109  IV. 

Fraenum  Probe 1  III. 

Spatula 1  III. 

Fraenkel's  Nasal  Speculum 55  II. 

Pneumatic  Apparatus 98  II. 

Frazer's  Pessary 88  III. 

French  Adjustable  Truss 12,  14  IV. 

Sound  Guage 6  III. 

Truss 11  IV. 


Page  P;irt 

French's  Speculum  Vaginoe 56  III. 

Fryer's  Addition  to  Sims'  Speculum,     28  S. 

Sims'  Speculum 12  S. 

Speculum  Vaginee 51  III. 

Transfusion  Apparatus 68  I. 

Fuller's  Pocket  Medicine  Cases .  126  I. 

Fullgraff's  Eustachean  Spray 41  II. 

Laryngeal  Douche 87  II. 

Nasal  Douche 58  II. 

Powder  Blower 87  II. 

Posterior  Nares  Douche 87  II. 

Fumigation,  Mercurial,  Apparatus  .     48  III. 

Funis  Clamp,  Pulling's 110  III. 

Furuncle  Knife 44  II. 

Gags 60    II.,  16     S. 

Gaifie's  Battery 101  I. 

Gaine's  Needle  Holder 5  S. 

Galante's  Eye  Speculum 4  II. 

Gait's  Trephine 12  I. 

Galvanic  Batteries 100  I. 

Belts 104  I. 

Disks 104  I. 

Pessaries 107  I. 

Galvano-Cautery  Apparatus Ill  I. 

Cautery  Sling 113  I. 

Faradic  Machine 102  I. 

Galezowsky's  Canalicula  Dilator ...       6  II. 

Gardner's  Caustic  Holder 74  III. 

Caustic  Forceps 74  III. 

Manifold  Instrument 75  III. 

Uterine  Case 55  III. 

Garratt's  Electric  Disk 104  I. 

Garrique's    Transfusion    Appa- 
ratus       69  I. 

Gastric  Fistula  Tube 99  I. 

Gauze,  Antiseptic 122  I. 

Gay's  Pocket  Case 53  I. 

Open  Ring  Scissors 60  I. 

General  Operating  Cases . .  5,7, 

9,  11,  13,  15,  17,  21,  23,  25,  55,  59  I. 

Gendron's  Trachea  Canula 95  II. 

George's  Ether  Inhaler 117  I. 

Ether  Inhaler 16  S. 

German  Student's  Lamp 76  II. 

Truss 12  IV. 

Gerne's  Pleximeter 82  I. 

Genu- Valgum  Brace 36,  131  IV. 

Gensoul's  Cautery  Canula 8  II. 

Gibb's  Laryngeal  Ecraseur 84  II. 

Spray 86  II. 

Gibson's  Ligature  Instrument 124  III. 

Gidding's  Uterine  Sound 76  III. 

Gillette's  Obstetrical  Forceps 109  III. 

Girard  Teulon's  Canaliculatome 11  II. 


ALPnABETicAii  Index. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28Tn  St.,  N.  Y. 


13 


Page  Part 

Glass  Brush 123  HI. 

Meatoscope 11  III. 

Globe  Pessary 88  III. 

Glove,  Paralysis 23  IV. 

Glover's  Evacuating  Apparatus 44  III. 

Gnawing  Forceps 24  I. 

Gorgets 39,  40,  41,  42  III. 

Anal  Speculum 117  III. 

Gonorrhoea  Ring 7  III. 

Syringes 22  III. 

Gouge,  Bone 24  I. 

Eye 27  II. 

Gouging  Forceps 24  I. 

Gouley's  Beaked  Bistoury 29  III. 

Director 29  III. 

Divulsor 23  III. 

Dilating  Urethrotome 27  III. 

External  Urethrotomy  Instru- 
ments    29  III. 

Guides,  Whalebone 11  III. 

Hydro-Hsemostat 43  III. 

Lithoclasts 43  III. 

Metrical  Sound-Guage 3  III. 

Over-Distender 23  III. 

Searcher,  for  Stone 31  III. 

Sounds,  Case 3  III. 

Staff  Catheter 29  III. 

Stricture  Cases 10  III. 

Tenaculum 29  III. 

Tunnelled  Sound 11  HI. 

Tunnelled  Urethrotomes  . .  25,  26  III. 

Whalebone  Guide 29  III. 

Gooche's  Canula 122  III. 

Goodwillie's  Levators  20  I. 

Levators 67  II. 

Mouth  Gag 60  II. 

Nasal  Speculum 55  H. 

Oral  Saw 67  II. 

Speculum  Oris 61  II. 

Spicula  Forceps,  Dental 7  V. 

Splitting  Forceps,  Dental 7  V. 

Tooth  Forceps 7,  8  V. 

Graduated  Measure,  Glass 78  I. 

Tube,  for  Analysis 79  I. 

Graefe's  Circular  Saw 18  I. 

Eye  Speculum 4  H. 

Fixation  Forceps 25  II. 

Iris  Forceps 30  n. 

Lens  Scoop 31  n. 

Linear  Knife 31  H. 

Tractor 31  n. 

Graeve's  Speculum  Vaginae 51  III. 

Grafting,  Skin,  Scissors 11  V. 

Graily  Hewitt's  Pessary 88,  89,  91  III. 

Grant's  CEdema  Glottis  Instrument.  80  II. 


Page  Part 

Granger's  Sponge  Holder 84  II. 

Grappling  Forceps,  PifCard's 11  V. 

Hook 94  I. 

Green's  Double  Hook 64  II. 

Hypodermic  Case 72  I. 

Tongue  Depressor 62  II. 

Tonsil  Bistoury 64  II. 

Plaster  Machine 13  S. 

Greenhalg's  Tumor  Forceps 97  III. 

Greenslade's  Canalicula  Knife 10  II. 

Greensville  Dowell's  Speculum G2  III. 

Gross'  Artery  Compressor 30  I. 

Artery  Compressor 42  III. 

Bullet  Forceps 42  I. 

Ear  Spoon  and  Hook 46  II. 

Flexible  Catheter 20  III. 

Pocket  Case 45  I. 

Polypus  Forceps 57  11. 

Speculum  Oris 60  II. 

Tourniquet 32  I. 

Urethral  Dilator 20  S. 

Urethrameter 19  S. 

Urethrotome 25  III. 

Gruber's  Ear  Specula 35  II. 

Ear  Scissors 44  II. 

Polypus  Knife 37  II. 

Tympanitome 88  II. 

GuardedBlunt  Hook  and  Crotchet.  112  III. 

Crown  Trephine 20  I. 

Guages,  Catheter,  &c 3,  5,  6  III. 

Gueride's  Clamp 94  III. 

Guernsey's  Uterine  Elevator 75  III. 

Guides,  Gouley's 11  HI. 

Keyes' 18  III. 

Otis' 18  IIL 

Guillotine,  Tonsil 65  II. 

Uvula 64  II. 

Gum  Lancets 58  I. 

Lancets 9  V. 

Gun-Shot,  Fracture  Apparatus 63  IV. 

Gunn's  Pocket  Case 43  I. 

Gutta  Percha  Splint 67,  91  IV. 

Gynaecological  Instruments 50  III. 

Instrument  Bag 50  IH. 

Hackley's  Eustachean  Spray 41  II. 

Haemostatic 87  IV. 

Haemorrhoidal  Clamp 119  III. 

Instruments 131  HI. 

SjTinge 125  IIL 

Haemarheumoscope 88  I. 

Hale's  Obstetrical  Forceps 108  III. 

Hall's  Iris  Scissors 83  II. 

Hammer,  Osteotomy 24  I. 

Percussion 83  I. 


Alphabetical  Index. 


14  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfakrk. 


Page  Part 

Hammer,  Post  Mortem 97  I. 

Toe,  Apparatus 39  IV. 

Hamilton's  Artery  Forceps 30  I. 

Bone  Cutter ' 10  I. 

Bone  Drills 8  I. 

Bullet  Forceps 42  I. 

Case,  Operating 9  I. 

Director  Probe 42  I. 

Drills 8  I. 

Dry  Dissectors 48  I. 

Dynamometer 89  I. 

Elbow  Splint 91  IV. 

General  Operating  Case..  9  I. 

Harelip  Scissors 59  II. 

Hip- Joint  Splint 43  IV. 

Levator 6  I. 

Maxillary  Bandage 75  IV. 

Osteophor 12  I. 

Patella  Splint 71  IV. 

Pocket  Case 45  I. 

Revulsor 117  IV. 

Serrated  Bone  Cutter 10  I. 

Sequestrum  Forceps 10  I. 

Tonsilotome 65  II. 

Hammond's  ^stbesiometcr 85  I. 

Hand,  Artificial 21  IV. 

Bones  of 130  I. 

Gouge 50  II. 

Trepan 20  I. 

Prince's -22  IV. 

Handy  Aspirator 14  S. 

Hank's  Antiseptic  Spray 119  I. 

Antiseptic  Spray G  S. 

Atomizer  for  Throat 19  S. 

Galvanic  Pessary 107  I. 

Pessary 88  IIL 

Rapid  Dilators 21  S. 

Tenaculum  Forceps 2  S. 

Tracheotome 94  11. 

Tracheotome 6  S. 

Uterine  Dilators 77  III. 

Harelip  Clamps 59  II. 

Forceps 59  II. 

Instruments 59  II. 

Pin 59,  60  II. 

Scissors 59  II. 

Harris'  Fracture  Apparatus 99  IV. 

Tooth  Forceps 3, 4  V. 

Trocar 47  IIL 

Harrison's  Pessary  Catheter 20  III. 

Hartshorn's  Patella  Splint 70  IV. 

Hart's  Eye  Speculum 4  II. 

Hassenstcin's  Otoscope 36  II. 

Hawksley's  Stethoscope 81  I. 

Thermometer 75  I. 


Page  Part 

Hayes'  Knife-Needle 32  II. 

Haywood  Smith's  Scissors 80  II. 

Scissors 70  III. 

Head-Rest  for  Torticollis 14  S. 

Heat  and  Cold,  Alternate,  Applica- 
tion of 117,  120  IV. 

Hebra's  Bone  Scoop 22  I. 

Heine's  Saw 22  I. 

Heister's  Speculum  Oris 61  II. 

Helical  Needle 28  I. 

Needle 115,123  IIL 

Helmuth's  Pocket  Case 51  I. 

Hemiplegia  Apparatus 34  IV. 

Henry's  Bull's-Eye 68  II. 

Depilating  Forceps 2  II. 

Depilating  Forceps 46  III. 

Phymosis  Forceps 1  III. 

Scrotal  Clamp 46  IIL 

Bandage  Shears 66  IV. 

Hernia  Director 44,  48  I. 

Director 126  III. 

Needles 126  III. 

Instruments 126  III. 

Syringe 126  IIL 

Trusses 9  IV. 

Herniatome,  AUis' 11  S. 

Hess'  Glass  Pleximeter 11  V. 

Heuel's  Antiseptic  Spray 121  I. 

Heurteloup's  Artificial  Leech.. .     65  I. 

Lithotritc 34  III. 

Hewitt's  Colle's  Fracture  Splint 79  IV. 

Femur  Fracture  Apparatus . .     58  IV. 

Knife 29  IIL 

Pessary 88,  89,  91  III. 

Staff 29  IIL 

Hewson's  Torsion  Forceps 30  I. 

Hey's  Saw 12  I. 

Hick's  Ecraseur 92,  93  III. 

Higgin's  Aspirator 133  I. 

Hinge  Hernia  Director 126  III. 

Hinton's  Polypus  Forceps 47  II. 

Hip- Joint  Splints. ...  41,  43,  44,  47, 

88,  89,  111  IV. 

Hitchcock's  Anteversion  Pessary. . .     89  III. 

Hodge's  Obstetrical  Case 71  III. 

Obstetrical  Forceps 103  III. 

Pessary 89  III. 

Hodgen's  Fracture  Apparatus 73  IV. 

Suspension  Apparatus 80  IV. 

Hoff's  Automatic  Suture 5  S. 

Hoffman's  Gouge  Forceps 12  I. 

Pessary 88  III. 

Holden's  Resonator 9  S. 

Sphygmograph 87  I. 

Holmes'  Perforator Ill  III. 


AiiPHABBTiCAi.  Index. 


67  CHATHAM  STREET,  NEW  YORK. 
Bkakc'H  Store,  107  East  38th  St.,  N.V 


15 


Page  Part 

Holt's  Divulsors 23  III. 

Self -Retaining  Catheter  ...   15,  18  III. 

Holthouse's  Spiral  Extender 89  IV. 

Hose,  Elastic 53  IV. 

Hooked  Gorget 42  III. 

Hook,  Tonsil G4  II. 

Hooper's  Knee  Extension  Apparatus    41  IV. 

Horseshoe-pad  Truss 134  IV. 

Hornby's  Pessary 86  III. 

Speculum  Vaginae 52  HI. 

Hosner's  Ear  Spout 50  II. 

Hospital  Aspirator 131  I. 

Minor  Operating  Case  ...  37  I. 

Pocket  Case 43  I. 

Splint,  Lente's 62  IV. 

Hot  Air  Bath 92  II. 

Water  Bath 115,  116  IV. 

Water,  in  Surgery 114  IV. 

Howard's  Bone  Drills 8  I. 

Speculum  Vaginae 64  III. 

Hiiter's  Flat  Catheter 20  III. 

Hull's  Truss 13  IV. 

Humerus,  Neck  Fracture 92  IV. 

Ununited  Fracture 109  IV. 

Ununited  Fracture 21  IV. 

Hunter's  Artery  Forceps 44  I. 

Director 44  I. 

Divulsor  and  Urethrotome  .  .  22  S. 

Filamentous  Wedge 22  S. 

Inhaler 91  II. 

Obstetrical  Forceps 106  III. 

Speculum  Vaginae 58  III. 

Trilabe 34  III. 

Urethral  Tourniquet 22  S. 

Urethrotome 22  S. 

Uterine  Dilator 79  III. 

Uterine  Sound 76  III. 

Hurd's  Pessary 90  III. 

Hutchison's  Prostatic  Catheter  ....  15  III. 

Harelip  Forceps 59  II. 

Hip-Joint  Apparatus 47  IV. 

New    Method    for    Treating 

Joint  Disease 29  S. 

Lithotome 41  III. 

Lithotome 10  S. 

Ligature  Needle 123  III. 

Ointment  Sjainge 82,  120  III. 

Post  Mortem  Case 96  I. 

Prepuce  Forceps 1  III. 

Hutchinson's  Spirometer 98  II. 

Hydrocele  Bag 46  III. 

Trocars 46,  47,  48  III. 

Hydro-Rheostat 104  I. 

Hypodermic  Bottle 73,  74  I. 

Bottle 15  S. 


Page  Part 

Hypodermic  Syringes 70  I. 

Syringe  Needles 72  I. 

Syringe,  Repairing 73  I. 

Hysterotomes 80  III. 

Ice  Bags,  Eye 121  IV. 

Spinal 120  IV. 

Injection,  Bladder 49  III. 

Hypodermic 70  I. 

Rectum 120  III. 

Uterus 82,83  III. 

Vaginae 82,  84  III. 

Illuminators 78,  79  II. 

Illuminators 117  III. 

Incontinence,  Urinals 47  III. 

Urinals 20  IV. 

Inhaler,  Anaesthetic 114  I. 

Anaesthetic 16  S. 

Inhaling  Apparatus 88  II. 

Insufflators,  Bridge'.s 4  S. 

Clay's 86  II. 

Elsberg's 85  II. 

Knapp's 49  II. 

Laryngeal 86  II. 

Leffert's 86  II. 

Rectal 119  III. 

Sexton's 6  S. 

Insulated  Catheter 107  I. 

Internal  Urethrotomy  Instruments  . 

25,26,27,28  IIL 

Interosseous  Saw,  Lente's 14  I. 

Intra-Uterine  Electrode 106  I. 

Iris  Instruments 30  II. 

Forceps 30,  32  II. 

Hooks 30  II. 

Knives 32,  33  II. 

Needles 30  II. 

Scissors 30,  31,  32,  33  II. 

Iridotomy  Scissors 31  II. 

Irido  Platinum  Needle 11  V. 

Irrigators 83,  118  III. 

Isaac's  Bone  Forceps 18  I. 

Ive's  Obstetrical  Forceps 106  III. 

Jacobson's  Lithotrite 34  III. 

Jacket,  Straight 113  IV. 

Jaeger's  Bistoury  Cache 10  II. 

Keratomes 30  II. 

Lid  Holder  (Plate) 1  II. 

Ophthalmostate 25  II. 

Plate  Lid  Holder 1  II. 

Jaque's  Catheters 11  S. 

Jaw,  Fracture  Apparatus 75  IV. 

Lock 60  n. 

Jeffrey's  Respirator 91  II. 


Alphabetical  Index. 

16  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfatike. 


Page  Part 

Jenk's  Obstetrical  Forceps 108  III. 

Speculum  Vagince 51  III. 

Uterine  Probe 71  III. 

Uteriue  Sound ' 78  III. 

JeTvett's  Section  Cutter 91  I. 

Johnson's  Electric  Monitor 103  I. 

Trachea  Canula 95  II. 

Junker's  Methjiene  Inhaler 118  I. 

Junod's  Arm,  Dry  Cupping 113  IV. 

Boot,  Dry  Cupping 112  IV. 

Jury  Mast,  Sayre's 129  IV. 

Keith's  Tenaculum 42  III. 

Kettle,  Croup 92  II. 

Keratomes 30  II. 

Keratome  Scissors 31  II. 

Key,  Dental 8  V. 

Keye's  Bladder  "Washer 49  III. 

Catheter  Guide 18  III. 

Kidder's  Family  Battery 103  I. 

Tip  Battery 102  I. 

King's  Pelvimeter 14  V. 

Kinloch's  Pessaries 89  III. 

Urethrotome 11  S. 

Knapp's  Caustic  Holder 29  II. 

Cystotome 31  II. 

Ear  Specula 35  II. 

Entropium  Forceps 2  II. 

Eye  Cases 24,  26  II. 

Foreign  Body  Hook 27  II. 

Ophthalmoscopes 22,  23  II. 

Operating  Chair 123  I. 

Powder  Blower 49  II. 

Knee,  Anchylosis,  Apparatus ...  41, 

48,  49,  50  IV. 

Cap 53  IV. 

Cap,  PateUa 72  IV. 

Compressor 130  IV. 

Knee-joint  Splints  : 

Anchylosis,  short 49  IV. 

Anchylosis,  long 50  IV. 

Andrew's 122,  123,  124  IV. 

Bacon's,  Patella 135  IV. 

Holthouse's  Extender 89  IV. 

Hooper's  Extension 41  IV. 

Hutchison's 29  S. 

Sayre's 51  IV. 

Shaffer's 90  IV. 

Stillman's 30  S. 

E[nife,  Amputating 4  I. 

Brain 95  I. 

Cataract 31  II. 

Cartilage 6,  94,  99  I. 

Iris 32  II. 

Linear 31,  32  II. 


Page  Part 

Knife,  Microscopic  Section 91  I. 

Needle 32  11. 

Uterine 74  III. 

Knight's  Stethoscope 83  I. 

Knock-Knee  Brace 36,  131  IV. 

Knot  Tyer 28  I. 

Tyer 122  IIL 

Knotted  Bougie 11  III. 

Kramer's  Catheter  Holder 37  II. 

Ear  Speculum 34  II. 

Syringe 49  II. 

Kuechenmeister's  Scissors 81  III. 

Kystotome  (Cystotome) 31  II. 

Labia  Vaginse,  Speculum 66  III. 

Lachrymal  Canula 10  II. 

Duct  Instruments 4,  6,  8,  10  II. 

Probes 6  IL 

Syringes 6  II. 

Laenneck's  Uterine  Knives  80  III. 

Lallemand's  Port  Caustique 21,  82  III. 

Lamp,  Bodenhamer's 117  III. 

Bumstead's 48  III. 

Collin's 79  II. 

Henry's 68  II. 

Mackenzie's 78  II. 

Lee's 48  III 

Maury's 48  III. 

Pocket  Illuminator 79  II. 

Seeger's 76  II. 

Tobold's 76  II. 

Van  Buren's 48  III. 

Lancet,  Abscess 56  I. 

Bleeding 56  L 

Gum 58  I. 

Gum 9  V. 

Spring 66  L 

Thumb 56  I. 

Langenbeck's  Artery  Forceps 6  I. 

Bone  Hook 10  L 

Bandage  Clamps 34  I. 

Levator  and  Hook 10  I. 

Retractor 67  II. 

Serres-fins 30  I. 

Seizing  Forceps 63  II. 

Staphylorrhaphy  Instruments  67  II. 

Suture  Holder 67  II. 

Trachea  Hooks 93  IL 

Tracheotome 93  II. 

Uraniscoplastic  Instruments  .  67  II. 

Lanne's  Forcep  Needle 32  II. 

Laryngeal  Caustic  Carrier 85  II. 

Forceps 82  II. 

Powder  Blower 86  IL 

Scoop 83  II. 


Branch  Store, 


Alphabetical  Index. 
67  CHATHAM  STREET,  NEW  YORK. 


107  East  28th  St.,  N.  Y. 


17 


Page 

Laryngeal  Syringe 56,  86 

Laryngoscope G8 

on  the  Use  of  the 70 

Laryngoscopic  Cases 75 

Instruments 68  to  86 

Mirrors 68 

Lateral  Curvature,  Spine,  Appara- 
tus  3,  135 

Laurence's  Eyelid  Tourniquet 1 

Laveur's  Endoscope 2 

Lawson's  Applicator 83 

Lebenswecker,  Baunscheidt's 66 

Leech,  Artificial 65 

Uterine 2 

Lee's  Lamp 48 

Leffert's  Powder  Blower 86 

Leg,  Short,  Extension 25,  26 

and  Thigh,  Paralysis 33 

Legs,  Weak,  Apparatus 32 

Lente's  Caustic  Probe 85 

Double-Bulb  Probe 76 

Ether  Inhaler    114 

Fracture  Apparatus 62 

Interosseous  Saw 14 

Ligature  Carrier 123 

Ointment  Syringe 82,  83 

Platina  Cup 76,  122 

Lens  Forceps 32 

Scoops  (Spoons) 31 

Lenticular  Knife 4 

and  Elevator 14 

Leonard's  Uretrometric  Sound 28 

Leroy  d'  Etiolle's  Scoop 45 

Levator 6 

Levis'  Cataract  Needle 33 

Clavicle  Apparatus 76 

Dislocation  Splint    82 

Hernia  Director 126 

Lachrymal  Probe 7 

Lewis'  Folding  Saw I3 

Patella  Splint 69 

Urine  I'est  Apparatus 80 

Varicocele  Clamp 46 

Lid,  Entropium 1 

Liebold's  Eye  Speculum 4 

Subpalpebral  Syringe 6 

Liebreich's  Eye  Speculum \.       4 

Lis  Forceps 32 

Ophthalmoscope I3 

Probe  and  Knife 7 

Lifting-Back  Saw 14  99 

Lifc^ators 26,'  28 

^'gators 92,  93,  122,  123,  124,  125 

Ligature,  Elastic I25 

Needle oa 


Part 

11. 
II. 
II. 
11. 
II. 
II. 


IV. 

II. 
III. 
III. 

I. 

I. 

S. 
III. 
II. 
IV. 
IV. 
IV. 

II. 

III. 

I. 

IV. 

I. 

III. 

III. 

III. 

II. 

II. 

I. 

I. 

s. 
III. 

I. 
II. 

IV. 
IV. 

III. 

II. 

I. 

IV. 

I. 
III. 

II. 

II. 

11. 

II. 

II. 

II. 

II. 

I. 

I. 
III. 
III. 

I. 


Page 
Ligature,  Silk 16 

Lincoln's  Cauteiy  Electjodc 32 

Linear  Knife,  Baader's 32 

Knife,  Graefe's 31 

Linhardt's  Knife  Chisel 24 

Lining  Splints 67 

^i^t 56,73 

Carrier 42 

Liquid  Glass,  Surgical,  Use  of lOG 

Lister's  Antiseptic  Dressing 122 

Listen's  Amputating  Knife 4 

Artery  Forceps q 

Bone  Forceps 10 

Fracture  Apparatus 66 

Lithoclast 39  40 

Litholapaxy,  Bigelow's  Apparatus  .     36 

Lithotomy g8 

Anklets  and  Wristlets 38 

Cases 14^16,  17 

Forceps 39,  41,  42 

G^orgets 39,  41,  42 

Knives 40,  41 

Scoop '09 

Staffs 38 

Lithotome,  Hutchison's 10 

Smith's  N.  R 40 

Lithotrites 33 

Lithotrity 33 

Little's  Antiseptic  Spray 121 

Director,  for  Median  Litho- 
tomy       38 

General  Operating  Case . .     55 

Lithotomy  Bistoury 40 

liithotomy  Case 17 

Lithotomy  Forceps 42 

Lithotomy  Staff 38 

Minor  Operating  Case  ...     55 
Minor  Operating  Instrument .     48 

Pocket  Case  . .  ] 51 

Retractors 43 

Scalpels 48 

Searcher,  Stone 31 

Staff 38 

Trocar 43 

Litter g^ 

Local  Anaesthesia 119 

Lock-jaw  Instrument 61 

Loewenthal's  Obstetrical  Forceps  . .  104 

Loomis'  Stethoscope 81 

London  Abdominal  Supporter 17 

Long  Chain  Ecraseur 93 

Pipe  Urethral  Syringe 21 

Pipe  Uterine  Syringe 82 

Loring's  Ophtlialmoscopes 14 

Lower  Extremities,  Apparatus 25 


Part 

I. 

S. 

II. 

II. 

I. 

IV. 

IV. 

I. 

IV. 

I. 
I. 
I. 
I. 

IV. 

III. 
III. 
III. 
III. 

IIL 
III. 
III. 
III. 
III. 
III. 

S. 
IIL 
IIL 
III. 

I. 


III. 

I. 
III. 
IIL 
III. 
III. 

I. 

I. 

I. 

I. 

I. 
III. 
III. 
III. 
IV. 

I. 

II. 

III. 

I. 
IV. 
IIL 
III. 

in. 
II. 

IV. 


Alphabetical  Index. 

18  GEO.  TIEMANN  &  CO'.S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfakre. 


Page  Part 

Lucae's  Reflux  Ear  Douche 49  II. 

Luer's  Cheek  Retractors 66  II. 

Lithotomy  Scoop 40  III. 

Luxation  Forceps 83  IV. 

Polj-pus  Forceps 98  III. 

Lusk's  Cephalotrite 113  III. 

Luzardi's  Hooked  Needle 31  II. 

Luxation,  Phalanges 82,  83  IV. 

Mackenzie's  Inhaler 92  II. 

Larj'ngeal  Ecraseur 81  II. 

Laryngeal  Electrode 108  I. 

-Larj-ngeal  Forceps 81  II. 

Laryngeal  Lancets 80,  81  II. 

Laryngeal  Scissors 81  II. 

Light  Concentrator 78  II. 

Tonsilotome 65  II. 

Magneto  Electric  Batteries 103  I. 

Mallet,  Steel 97  I. 

Lead-filled 24  I. 

Mallez's  Bougie  a  Boule 9  III. 

Insufflator 9  III. 

Manfredi's  Speculum 7  II. 

Manoir's  Canalicula  Scissors 8  II. 

Manometer,  Politzer's 43  II. 

Marey's  Sphj^gmograph 87  I. 

Markoe's    General    Operating 

Case 17  I. 

Sequestrum  Forceps 24  I. 

Staff,  Lithotomy 38  III. 

Torticollis  Brace 6  IV. 

Marshall's  Osteotrite 22  I. 

Marsh's  Respirometer 27  S. 

Marine  Lint 82  IV. 

Martin's  Combination  Stethoscope  .     82  I. 

Rubber  Bandage 134  IV. 

Maryngotome 44  II. 

Mason's  Catheter  Staff 44  III. 

Minor  Operating  Case  ...     59  I. 

Pocket  Case 55  I. 

Maisonneuve's  Stone  Crusher 39  III. 

Masticator 101  II. 

Mastin's  Stricture  Cutter 26  III. 

Maisonneuve  Urethrotome. . .     25  III. 

Mastoid  Process  Instruments 50  II. 

Process  Knife 44  II. 

Mathew's  Obstetrical  Forceps 108  III. 

Mathieu's  Prolapsus  Ani  Supporter,  134  IV. 

Throat  Forceps 83  II. 

Tonsilotome 65  II. 

Writer's  Cramp  Apparatus  . .  132  IV. 

Maury's  Fumigation  Apparatus ....     48  III. 

Maxillary,  Lower,  Fracture 75  IV. 

Saw 18  I. 

Maw's  Enema  Pump 84,120  III. 


Page 

May's  Lithotomy  Case 16 

Tourniquet 38 

Mayor's  Clavicle  Apparatus 92 

McClintock's  Polypus  Forceps 99 

McFarlan's  Lachrymal  Sja-inge  ....       6 
McFerran's  Obstetrical  Forceps  ...  109 

Mclntire's  Splint 66 

Mcintosh  Wacerproof  Cloth 122 

McUroy's  Operating  Table 123 

Speculum  Chair 124 

Mclntyre's  Fracture  Apparatus  ....     66 

McLean's  Obstetrical  Forceps 106 

Meadow's  Speculum  Vaginae 52 

Meatus,  Auditorius 34 

Urethral 2,11 

Meatoscope 2,11 

Meatotome 11 

Medicine  Cases 126 

Chests 128 

Saddle  Bags 129 

Meig's  Craniotomy  Forceps 113 

Membrana  Tympanii 37 

Mercier's  Sonde  Coudee 9,  18 

Sonde  Bicoudee 9,  18 

Mercurial  Fumigation  Apparatus  . .     48 

Metacarpal  Saws 4,  12,  14 

Metric   Scale,  for  Urethral  Instru- 
ments         6 

System 

Metrotomes 80 

Metrorganon 74 

Microscope 90 

Dissecting  Case 96 

Forceps 92 

Instruments 90 

Needles 92 

Scalpels 92 

Section  Knives 92 

Syringe 93 

Midwifery  Forceps 103 

Instruments 103 

Miller's  Obstetrical  Forceps 103 

Uterine  Dilator 79 

Miliano's  Suspensory 19 

Miliken's  Ear  Speculum 35 

Milium  Needle 11 

Milne's  Artery  Compression  Forceps    30 

Urethrotome 2 

Minim  Measui'e 126 

Pipette 126 

Minor  Operating  Cases . .  33,  35 

39,  51,  55,  59 

Operating  Instruments 6,  44 

Minor's  Pocket  Case 51 

Stricture  Dilators 23 


Part 
HI. 

I. 
IV. 
III. 
II. 
III. 
IV. 

I. 

I. 

I. 
IV. 
III. 
III. 
II. 
III. 
III. 
III. 

I. 

I. 

I. 
III. 
11. 
III. 
III. 
III. 

I. 

III. 

s. 
III. 
III. 

I. 

I. 

I. 

I. 

I. 

I. 

I. 

I. 
III. 
III. 

HI. 

HI. 

IV. 

II. 

V. 

I. 

S. 

I. 

I. 

I. 

I. 

I. 

HI. 


Alfhabetical  Index. 
61  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28th  St.,  N.  Y. 


10 


Page  Part 

Minor's  Trachea  Retractors 14  V.. 

Mincing  Machine 101  II. 

Mirrors,  Ear 34  II. 

Laryngeal 68  II. 

Mitchel's  Adhesive  Plaster 61  IV. 

Mohr's  Burette 79  I. 

Beaker 79  I. 

Stand 79  I. 

Molar  Forceps,  Dental 2,  3,  4  V. 

Mop,  for  Canulas 95  II. 

Morbus  Coxarius  Splints  ...  41,  48, 

44,  47,  73,  89,  111  IV. 

Morgan's  Fracture  Bed 97  IV. 

Morton's  Ether  Inhaler 118  I. 

Mose's  Bullet  Extractor 40  I. 

Mott's  Aneurism  Needles 28  I. 

G-eneral  Operating'  Case . .     23  I. 

Retractors 20  I. 

Speculum  Oris 61  II. 

Tourniquet 32  I. 

Mouth  Gags 60  II. 

Gags 16  S. 

Specula 60  II. 

Movable  Point  Scissors 81  II. 

Multum  in  Parvo  Pocket  Case.  .43  I. 

Munde's  Rectal  Irrigator 118  III. 

Munger's  Splint 98  IV. 

Munson's  Refraction  Model 10  S. 

Perineal  Stay 116  III. 

Quill  Suture 116  III. 

Murray's  Electrolysis  Needle 110  I. 

Mussey's  Mouth  Gag 60  II. 

Musseux's  Vulsellum 63  II. 

Nachet's  Trial  Set 23  II. 

Nsevus  Needle 10  V. 

Naegeli's  Obstetrical  Forceps 106  III. 

Perforator Ill  III. 

Nail  Cleaner  and  File 12  V. 

Extracting  Forceps. . .    12  V. 

File 12  V. 

Instruments 12  V. 

Nippers 12  V. 

Spring 12  V. 

Nasal  Clamp 37  II. 

Douche ; 57,58  II. 

Douche 4  S. 

Electrode 108  I. 

Instruments 55  II. 

Polypus  Canula 57  II. 

Polypus  Forceps 57  II. 

Specula 55,  56,  57  II. 

Nebulizer,  Atomizer 87,  88,  89  II. 

Necrosis  Forceps 10,  12  I. 

Osteotomy. 8  I. 


Page  Part 

Needle,  Agnew's,  Perineal 115  III. 

Aneurism 0,  28,  01  I. 

Ashton's,  Perineal 115  III. 

Buck's 61  I. 

Bowman's,  Stop 33  II. 

Bozeman's 72  III. 

Canulated 28  I. 

Cleborne's 14  S. 

Crampton's,  Artery 20  I. 

Dowell's,  Hernia 126  III. 

Electrolysis 110  I. 

Eye 27  II. 

Forceps,  Cleborne's 26  S. 

Forceps,  Dudley's 16  S. 

Forceps,  Emmett's 13  V. 

Forceps,  Front's 10  II. 

Forceps,  Russian 5  S. 

Forceps,  Sands' 10  II. 

Forceps,  Sims' 72,  123  III. 

Forceps,  Stimson's 63  I. 

Forceps,  Stimson's 14  V. 

Hayes' Knife 32  II. 

Helical 115  III. 

Hernia 126  III. 

Holder,  Bozeman's 72  III. 

Holder,  Microscopic 92  I. 

Holder,  Nott's 73  III. 

Holder,  Roux's 73  III. 

Hypodermic  SjTinge 72  I. 

Irido  Platinum 11  V. 

Microscopic 92  I. 

Milium 11  V. 

Mott's,  Artery 28  I. 

Nsevus 10  V. 

Open-eyed 63  I. 

Paracentesis  Cornese 29  II. 

Parker's,  Perineal 116  III. 

Peaslee's,  Perineal 116  III. 

Perineal 116  III. 

Post's Gl  I. 

Skene's,  Perineal 115  III. 

Staphylorrhaphy 66  II. 

Staphylorrhaphy 10  V. 

Staphylorrhaphy 10  S. 

Student's,  Aneurism 28  I. 

Suture 63  I. 

Suture 123  III. 

Tattoeing 33  II. 

"Walton's,  Cataract 33  H. 

Wire  Suture 63  I. 

Whitehead's 66  II. 

Wilde's,  Canulated 32  II. 

Nelaton's  Bullet  Probe 40  I. 

Catheter IS  III. 

Evacuating  Apparatus 44  III. 


Alphabetical  Index. 

20  GEO.  TIEMANN  &  GO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfakke. 


Page  Part 

Nelaton's  Pedicle  Forceps 97  III. 

Tumor  Forceps 97  III. 

Nelson's  Speculum  Vaginae. 58  III. 

Ne^wman's  Atomizer 91  II. 

Metrorganau 74  III. 

Obstetrical  Forceps 109  III. 

Obstetrical  Forceps 1  S. 

Noeggerath's  Supporter 17  IV. 

Clamp 94  III. 

Exploring  Trocar 91  I. 

Pessary 88  III. 

Uterine  Elevator 75  III. 

Nose,  Artificial 136  IV. 

Clamp 37  II. 

Nott's  Applicators 73,  83  III. 

Artery  Clamp  Forceps 30  I. 

Case    of    Uterine    Instru- 
ments   61  III. 

Depressor 68  III. 

Double  Current  Catheter  . .  45,  82  III. 

Intra-Uterine  Scarifyer 73  III! 

Lead  Sound 73  III. 

Needle  Forceps 68  III. 

Rectilinear  Ecraseur 94  III. 

Roux  Needle  Holder 73  III. 

Speculum  Vaginae 56  III. 

Sponge  Holder 73  III. 

Sponge  Tent  Expeller 73  III. 

Tenaculum 98  IIL 

Twisting  Forceps 68  IIL 

Uterine  Dilator 79  III. 

Uterine  Instruments 73  III. 

Uterine  Syringe 83  III. 

Neugebauer's  Speculum 66  III. 

Noyes'  Brush  Holder 85  II. 

Canalicula  Knives 8  II. 

Case  of  Eye  Instruments.  11  II. 

Conjunctiva  Forceps 7  II. 

Ear  Forceps 46  II. 

Eye  Specula 4  II. 

Fixation  Forceps 25  II. 

Iris  Scissors 32  II. 

Lachrymal  Gouge 7  II. 

Ophthalmostate 25  II. 

Stilling's  Knife 10  IL 

Obstetrical  Forceps 103  III. 

Cases 69,  71  III. 

O'Biern's  Constipation  Tube 100  II. 

ffidema  Glottis  Instrument 80  II. 

CEsophageal 82  II. 

Stricture  Dilators 84  II. 

Ointment  Bougie 21,  82  III. 

Syringe 82  III. 

O'Leary's  Pessary 91  III. 


Page  Part 

Olecranon  Fracture  Apparatus 94  IV. 

Olivary  Catheter 13  III. 

Operating  Cases,  General 5  I. 

Cases,  Minor 33  I. 

Furniture 123  I. 

Scalpel 6  I. 

Ophthalmophantome 23  II. 

Ophthalmoscopes 13,  14,  22,  23  II. 

Use  of 15  IL 

Ophthalmostates 25  II. 

Optometer 23  II. 

Oral  Instruments 60  II. 

Saw 67  II. 

Screw 60  II. 

Specula 60  II. 

Ormiston's  Urine  Test  Case  ...     80  I. 

Orthopaedic  Apparatus IV. 

Osborne's  Obstetrical  Forceps 107  III. 

Osteotomy  Instruments 8  I. 

Osteological  Material 130  I. 

Osteotrite,  Marshall's 22  I. 

Osteophor 12  I. 

Otis'  U.  S.  A,  Compact  Field  Case    57  I. 

Bulbous  Urethrotome 28  III. 

Bougie  a  Boule 11  III. 

Dilating  Catheter  Syringe  ...     22  III. 

Dilating  Urethrotomes 25,  27  III. 

Endoscopic  Tube 2  III. 

Exploring  Sound 31  III. 

Meatus  Dilator 2  III. 

Metric  Scale 6  III. 

Prostatic  Guide 18  III. 

Prostatic  Guide 9  S. 

Syringe  Nozzle 22  III. 

Urethrameter 27  III. 

Urethrotomes 25  III. 

Otoscopes 34,  35,  36  II. 

Ovarian  Tumors 92  III. 

Ovariotomy  Instruments 92  III. 

Paine's  Nasal  Feeding  Tube 101  II. 

Palatorrhaphy  Instruments 66  II. 

Palmer's  Uterine  Dilator 79  III. 

Pamard's  Pique 25  II. 

Paquelin's  Thermo-Cautery 134  I. 

Paracentesis,  Abdominis 101  III. 

CornejE 29  II. 

Thoracis 131  L 

Parallel  Harelip  Forceps 60  II. 

Paralysis  Apparatus 33  IV. 

Hand 23  IV. 

Hemiplegia 34  IV. 

Paraplegia 33,34  IV. 

Parker's  Amputating  Knife 4  I. 

Artery  Needles 


Alphabeticai.  Index. 


67  CHATHAM  STREET,  NEW  YORK. 


Bkanch  Store, 


107  East  28Tn  St.,  N.  Y. 


21 


Page  Part 

Parker's  Catheter  Syringe 22,  83  III. 

Compact  Operating-  Case.     31  I. 

Compound  Catheter 52  I. 

Compound  Catheter 20  III. 

Fistula  Lachrymalis  Knife  . .       8  II. 

General  Operating  Case . .     15  I. 

Perineum  Needles 116  III. 

Pocket  Cases 43  I. 

Retractors 20  I. 

Saw 2  I. 

Parmley's  Tooth  Forceps 6  V. 

Patella,  Fracture  Apparatus  ...  68, 

69,  70,  71,  72  IV. 

Cap,  Tiemann's 72  IV. 

Support,  Bacon's 135  IV. 

Peaslee's  Perineum  Needles 116  III. 

Stem-Pessary 91  III. 

Uterine  Case 63  III. 

Uterine  Dilators 77  III. 

Uterotome 81  III. 

Pelvimeter,  King's 14  V. 

Pencil  Case  Thermometer 76  I. 

Penis,  P.  P.  Syringe 22  III. 

Percussors 82  I. 

Perineal  Lithotrity 43  III. 

Tourniquet,  Otis' 18  S. 

Perineum  Case,  Agnew's 116  III. 

Laceration,  Instruments  for  .  115  III. 

Needles 115,  116,  123,  124  III. 

Suture  Stays 116  III. 

Periosteotomes 6,8  I. 

Periosteotomes 66,  67  II. 

Periosteum  Levators 20  I. 

Perforators,  Obstetrical Ill  III. 

Perry's  Pessary 89  III. 

Pes  Equinus 27  IV. 

Equino- Varus 29  IV. 

Pessary,  Babcock's 86  III. 

Ball's  Stem 89  III. 

Bozeman's  Support 18  S. 

Braun's 14  V. 

Braun's  Colpeurynter 90  III. 

Buttle's 88  III. 

Carroll's 19  S. 

Chamberlain's 87  III. 

Coleman's 21  S. 

Conant's  Intra-Uterine 90  III. 

Cutter's 86  III. 

Cutter's  Ring 91  III. 

Coxeter's  Stem 90  III. 

Davie's 86  III. 

Edward's 90  III. 

Emmett's  Ring 88  III. 

Fowler's 91  III. 

Fowler's  Bow 23  S. 


Page  Part 

Pessary,  Frazer's 88  III. 

Globe  88  IIL 

Graily  Hewitt's 88, 91  III. 

Hank's  Galvanic 88  III. 

Hewitt's 89  III. 

Hitchcock's  Anteversion 89  III. 

Hodge's 89  IIL 

Hoffman's 88  III. 

Hornby's 86  IIL 

Hurd's 90  III. 

Introducer 91  III. 

Kinloch's  Anteversion 89  III. 

Kinloch's  Retroflexion 89  III. 

Kinloch's  Prolapsus 89  III. 

Noeggerath's 88,  III. 

O'Leary's 91  IIL 

Peaslee's  Stem 91  III. 

Perry's  Flexion 89  IIL 

Rozer's 86  III. 

Skene's  Cystocele 18  S. 

Skene's  Urinal  Cup 91  III. 

Sleigh 88  III. 

Smith's 87  III. 

Stem 90,  91  III. 

Thomas'  Anteflexion 89  III. 

Thomas'  Anteversion 87  IIL 

Thomas'  Cutter's 87  III. 

Thomas'  Galvanic  Stem 90  III. 

Thomas'  Intra-Uterine 89  III. 

Thomas'  Retroflexion 89  IIL 

Thomas' Retroversion 87  III. 

Tiernann  &  Co.'s 86  III. 

Trask's 90  III. 

Weber's 91  IIL 

Woodward's 5  S. 

Zwank's 88  HI. 

Pessary  Catheter,  Harrison's 20  III. 

Introducer,  Sims' 91  III. 

Peter's  Hernia  Director 48  I. 

Urethrotome 25  III. 

Petit's  Fistula  Lachrymalis  Knife . .  10  II. 

Spiral  Tourniquet 32  I. 

Phalanges,  Dislocation  Apparatus. .  82  IV. 

Phelp's  Abdominal  Supporter 18  IV. 

Artery  Torsion  Forceps 30  I. 

Phlebotomy  Instruments 66  I. 

Phymosis 1  HI. 

Forceps 1  III. 

Scissors 1  in. 

Physiological  Experiments 97  I. 

Physicians'  Vial  Cases 126  I. 

Physick's  Gorget 41  III. 

Piesmeter,  Beard's    88  I. 

Piffard's  Comedone  Extractor 11  V. 

Cutisector 92  I, 


Ai.PHAfii3TiCAL  Index. 


22  GEO.  TlEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

r.  A.  Stohlmann.  Edward  Pparke. 


Page  Part 

Piflfard's  Cutisector 11  V. 

Electrodes 105  I. 

Epilating  Forceps  . . '. 11  V. 

Grappling  Forceps 11  Y- 

Irido  Platinum  Needle 11  V- 

Milium  Needle 11  V. 

Pipette 79  I. 

Scarifj'ing  Spud 11  V. 

Sharp  Spoou 11  V. 

Urine  Test  Apparatus 79  I. 

Water-Oven 79  I. 

Pilcher's  Trachea  Retractor 94  II. 

Pile  Bougies 124,  125  III. 

Clamp  (Forceps) 119  III. 

Needles 123  III. 

Supporters 124  III. 

Supporters 19,  134  IV. 

Syringe 125  III. 

Pin,  Harelip 59,  60  II. 

Hfemorrhoidal 122  III. 

Plastic 59  11. 

Pinkham's  Graduated  Measure 74  I. 

Pitha's  Tracheotome 93  II. 

Placenta  Instruments 110  III. 

Plaster,  Adhesive 78  IV. 

Paris  Dressing 101  IV. 

Paris  Machine,  Spreading  ...     13  S. 

Paris  Shears 103,124,133  IV. 

Platinum  Cup,  Lente's 76  III. 

Plastic  Pin 59  II. 

Pin 122  III. 

Pleximeters 82  I. 

Hess',  for  Skin 11  V. 

Pneumatic  Aspirator 131  I. 

Apparatus 97  II. 

Pneumatometer 98  II. 

Pocket  Cases 41  I. 

Instruments 54  I. 

Instrument,  4  blades 60  I. 

Illuminator 79  II. 

Gouge  and  Spatula 27  II. 

Gum  Lancet 58,  61  I. 

Scalpel 58  I. 

Spud  and  Needle 27  II. 

Tenaculum 58,  60,  61  I. 

Tenotome 58  I. 

Tongue  Depressor 61  II. 

Politzer's  Acoumeter 27  S. 

Air  Bag 39  II. 

Ear  Spoon 45  II. 

Ear  Cases 36,  38  II. 

Eyelets 37  II. 

Eyelet  Forceps 37  11. 

Manometer 43  II. 

Meatus  Knife 37  11. 


Page  Part 

Politzer's  Polypus  Forceps 45  II. 

TjTcnpanum  Perforator 37  II. 

Polypus,  Aural 45,  46,  47  II. 

Canula 57  II. 

Dressing  Forceps 50  I. 

Nasal 57  II. 

Uterine 92  to  99  III. 

Pomeroy's  Catheter  Holder 37  II. 

Ear  Forceps 47  II. 

Pond's  Sphygmograph 87  I. 

Pope's  Antrum  Drill 12  I. 

Port  Acid  Glass 44  II. 

Caustiques 50,  52  I. 

Caustiques 45,  85  II. 

Caustiques 20,  21,  74, 

76,82,83,120  III. 

Meche 61  I. 

Meche 123  III. 

Portal  Vein  Ligator 98  I. 

Post's  Chain-Saw  Carrier 28  I. 

General  Operating  Case . .     11  I. 

Ligature  Carrier 28  I. 

Needle 61  I. 

Pin  Conductor 60  II. 

Rongeur 50  II. 

Post  Mortem  Cases 96  I. 

Mortem  Hammer 97  I. 

Mortem  Instruments 93  I. 

Mortem  Saw  and  Knife 95  I. 

Posterior  Nares  Syringes 56  II. 

Pott's  Disease,  Spine  Apparatus. .  2,  135  IV. 

Splint,  Raphael's 74  IV. 

P.  P.  Syringes 22  III. 

Powder  Blower,  Aural 49  II. 

Blower,  Laryngeal  85,  86  II. 

Blower,  Nasal 87  II. 

Blower,  Uterine 84  III. 

Blower,  Urethral 9  IIL 

Prepuce  Instruments 1  HI- 

Prince's  Hand 21  IV. 

Bone  Staff 16  I. 

Harelip  Clamp 59  II. 

Retractor 16  I. 

Staff,  Bone 16  I. 

Staphylorrhaphy  Instrument.     10  S. 

Tenaculum  Forceps 26  I. 

Pritchart's  Anklets,  Lithotomy 88  III. 

Wristlets,  Lithotomy 38  III. 

Pritchett's  Rotating  Urethrotome  . .     21  S. 

Probangs T 83,84  II. 

Probangs 74  III. 

Probangs 5  S. 

Probe  Director 50  I. 

Probes 50,61  L 

Bullet 42  I 


Alphaijetical  Index. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28tii  St.,  N.  Y. 


S?, 


Page  Part 

Probes,  Ear 4\),  44  II. 

Eye 0  II. 

Nasal  Duct 16  S. 

Uterine 73  III. 

Rectal 120,  121  III. 

Probe-pointed  Bistoury 6,  40, 

48,  50,  00,  01  I. 

Prolapsus  Ani  Supporter 124  III. 

Ani  Supporter 19,134  IV. 

Uteri  Supporter 17  IV. 

Prostatic  Catheters 13  III. 

Guide,  Otis' 9  S. 

Guide,  Keye's 18  III. 

Prout's  Entropium  Forceps 3  II. 

Needle  Forceps 10  II. 

Prussian  Field  Tourniquet 32  I. 

Psychrophor 12,  17  S. 

Pterygium  Scissors 29  II. 

Pus  Basins 49  II. 

Pulleys,  Dislocation 81  IV. 

Pulling's  Funis  Clamp 110  III. 

Pump,  Aspirator 131  I. 

Air 89  II. 

Cupping 64  I. 

Stomach 99  II. 

Pupillometer 23  II. 

Quadrivalve  Speculum  Vaginae  . .  52,  58  III. 

Quain's  Stethometer 86  I. 

Stethoscope 81  I. 

Quill  Suture  Stay 116  III. 

Rachitome,  Chisel 95  I. 

Saw 97  I. 

Radius  and  Ulna,  Dislocated 93  IV. 

Ramage's  Inhaler ....  90  II. 

Raphael's  Pott's  Splint 74  IV. 

Rapid  Filtration  Apparatus 79  I. 

Uterine  Dilators 21  S. 

Raspatory 4  I. 

U.S.  A 10  I. 

Ratchet  Truss 11  IV. 

Rattis'  Trichiasis  Forceps 2  II. 

Reagents,  Urine  Test 77  I. 

Reamer,  Post  Mortem 94  I. 

Recipro-Laryngoscope 78  II. 

Rectal 117  III. 

Bougie 117  III. 

Curette 120  III. 

Dilator 118  III. 

Dilator 8  S. 

Dressing  Forceps 119  III. 

Electrode 106  I. 

Feeding  Tube 101  II. 

Insufflator 119  HI. 


Page 

Rectal  Irrigators 118 

Puncture  of  Bladder 30 

Port  Caustique 120 

Probe 120 

Sponge  Mop  Holder 119 

Trocar 30 

Rectangular  Staff 40 

Rectilinear  Ecraseur 94 

Recto-Colonic  Endoscope 117 

Colonic  Enema  Apparatus. . .  120 

Redressors,  Uterine 75,  76 

Redfern  Davis' Hernia  Instrument.  126 

Reed's  Pile  Bougie 125 

Pocket  Case 45 

Reese's  Uterine  Leech 2 

Reflux  Catheter 82 

Catheter 18 

Refraction,  Munson's  Model 10 

Regimental    Surgeon's    Pocket 

Case 47 

Reginald    Harrison's    Pessary    Ca- 
theter   20 

Reliquet's  Double  Current  Catheter,  82 

Lithotrite,  large 34 

Lithotrite,  small 45 

Repositor,  Uterine 85 

Resection,  Osteotomy 8 

Resonator,  Holden's 9 

Respirators 91 

Respirometer,  Marsh's 27 

Retention  Catheters 13 

Retractors,  Blackman's 20 

Cheek 66 

Desmarre's 4 

Luer's 66 

Minor's 14 

Mott's 20 

Pilcher's 94 

Parker's 20 

Prince's 16 

Rose's 93 

Well's 93 

Retort  Stand 79 

Retroflexion  Pessary,  Carroll's 19 

Retroversion  Pessaries 86 

Revulsor,  Hamilton's 117 

Rhinoplastos 3 

Rhinoscopes 58 

Rhinoscopic  Mirror 58 

Rhode's  Double  Inclined  Plane 104 

Fracture  Bed 104 

Rib  Shears 18 

Richardson's  Atomizer 119 

Atomizer 27,  89 

Clavicle  Splint 76 


I'art 

HI. 
HI. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 

I. 

S. 
III. 

s. 
s. 


III. 
III. 
III. 
III. 
III. 

I. 

s. 
II. 

s. 
III. 

I. 

II. 
II. 

II. 

V. 

I. 
II. 

I. 

I. 
II. 
II. 

I. 

s. 
III. 

IV. 

s. 
II. 
II. 

IV. 
IV. 

I. 
I. 

II. 

IV. 


Alphabetical  Index. 

24  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTEUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarbb. 


Page  Part 

Kichardson'sRespirationlnstrument    97  II. 

Spray  Producer 119  I. 

Spray  Producer 89  II. 

Riding  Belt 18  IV. 

Riug,  to  remove  from  swollen  finger,  106  IV. 

Pessary 88  III. 

Robert's  Urine  Test  Apparatus  ....     80  I. 

Robertson's  Obstetrical  Forceps  . . .   105  III. 

Robert  &  Collin's  Nasal  Speculum  .     55  II. 

Robinson's  Insufilators,  Asphyxia  . .   109  III. 

Obstetrical  Forceps 107  III. 

Powder  BloAver 90  II. 

Rockwell's  Ball  Electrode 108  I. 

Electrolysis  Needle 110  I. 

Needle  Holder Ill  I. 

Obstetrical  Forceps 108  III. 

Roe's  Inhaler 91  II. 

Tobold's  Laryngoscope 68  II. 

Uvula  Hook 84  II. 

Roger's  Phymosis  Forceps 1  III. 

Rohland's  Styptic  Cotton 54  IV. 

Roller  Bandage 75  IV. 

Roller's  Obstetrical  Forceps 106  III. 

Roosa's  Ear  Case 42  II. 

Politzer  Bag 39  II. 

Root  Extractors,  Dental 9  V. 

Forceps,  Dental 4,  5,  6  V. 

Rose's  Trachea  Retractor 93  II. 

Rongeur,  Gouging  Forceps 24  I. 

Post's,  Mastoid  Process 50  II. 

Roux's  Needle  Holder 73  III. 

Rozer's  Pessary 86  III. 

Rubber  Bandage 134  IV. 

Catheters,  soft 15,  16,  18  III. 

Ruptured  Perineum  Needles 115  III. 

Ruppaner's  Brush  Holder 85  II. 

Russian  Needle  Holder 5  S. 

Ryerson's  Vectis 109  III. 

Saddle  Bags,  Medical 129  I. 

Safety  Spray-Tube  Cleaner 122  I. 

Salt's  Cradle 96  IV. 

Sand  Bath 

Sands'  Needle  Forceps 10  II. 

Pereosteotome 8  I. 

Sass'  Receiver  and  Pump 89  II. 

Spray  Producers 89  II. 

Tongue  Depressor 62  II. 

Satin  Suture  Silk 16  I. 

Satterlee's  Amputating  Saw 2  I. 

Bone  Forceps 6       I. 

Sawj'er's  Obstetrical  Forceps 109  III. 

Obstetrical  Forceps 1  S. 

Saws,  Adam's  Subcutaneous 3  S. 

Amputating 2  I. 


Page  Part 

Saw's,  Bow 2  I. 

Butcher's 6  I. 

Capital 2  I. 

Chain 14  I. 

Circular 14,  18  I. 

Detmold's  Metacarpal 12  I. 

Exsecting 2,  14  I. 

Folding 12  L 

Heine's 22  I. 

Hey's 12  I. 

Lente's  Interosseous 14  I. 

Lewis'  Folding 12  I. 

Lifting-Back 14,99  I. 

Maxillae 18  I. 

Metacarpal 4, 12,  14  I. 

Post  Mortem 95,97  L 

Rachitome 97  I. 

Satterlee's  Capital 2  I. 

Shrady's  Subcutaneous 26  S. 

Stohlmann's  Bead 7  S. 

Stohlmann's  Rotating . . . .       2  I. 

Szymanowsky's 14  I. 

Parker's  Capital 2  I. 

Tiemann's  Bow 2  I. 

Tiemann's  Capital 2  I. 

Sayre's  Ankle-joint  Splint  ........     52  IV. 

Bullet  Probe 40  I. 

Clubfoot  Shoe 30  IV. 

Clavicle  Dressing 77  IV. 

Compressor,  Knee  and  Ankle,  130  IV. 

Jury  Mast 129  IV. 

Hip  Splint,  short 42  IV. 

Hip  Splint,  long Ill  IV. 

Knee-joint  Splint 51  IV. 

Pereosteotome 8  I. 

Pereosteotome 66  II. 

Pocket  Case 51  I. 

Shears,  Plaster  Paris 124  IV. 

Suspension  Apparatus 128  IV. 

Tenotomes 6  I. 

Scales,  Catheter  Guage 3  III. 

Scalpels 6,46,48,58,61,92,95  L 

Scalpels 10,  59,  93  II. 

Scalpels 40  III. 

Scarificators 64  I. 

Scarifyer,  Eye 8  IL 

Rectal 121  IIL 

Uterine 74,80  III. 

Scarifying  Spud,  Piffard's 11  V. 

Scissors,  Allingham's 121  III. 

Althoffi's 30  II. 

Amputating  Cervix 81  III. 

Angular,  Bozeman's 70  III. 

Angular  Operating 50  I. 

Angular  Strabismus 13  IL 


Alphabetical  Index. 


6t  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  28Tir  St.,  N.Y. 


25 


Page  Part 

Scissors,  Artery 48  I- 

Bozeman's 70,  71  HI- 

Bush's  Pile 124  III. 

Canulated 32  II. 

Chadwick's  Pterygium 20  II. 

Clark's  Tooth-edged 81  III. 

Conjunctiva 29  II. 

Curved,  flatwise 50  I. 

Dissecting 50  I. 

Dressing 52  I. 

Ear 37,44  II. 

Enterotome 95  I. 

Emmett's 70  III. 

Gay's  Open  Ring 60  I. 

Gruber's  Ear 44  II. 

Hall's  Iris 33  II. 

Hsemorrhoidal 124  III. 

Harelip 59  II. 

Hey  wood  Smith's 70  III. 

Hysterotome 80  III. 

Iridectomy 30,31  II. 

Iris 30,31,33  II. 

Kuechenmeister's 81  III. 

Maunoir's 8  II. 

Movable  Points 81  II. 

Perforating Ill  III. 

Pile 124  III. 

Phymosis 1  III. 

Plaster  Paris. ...  66, 103, 124,  183  IV. 

Probe-pointed 99  I. 

Sims' 70  III. 

Simrock's  Ear 37  II. 

Staphylorrhaphy 66  II. 

Strabismus 12  II. 

Smith's  Movable 80  II. 

Tardieu's 94  II. 

Taylor's 1  III. 

Tiemann's  Movable 81  II. 

Tonsil 65  II. 

Tooth-edged 81  III. 

Trachea 94  II. 

Uterine 80,81  III. 

Uvula 64  II. 

"Wilde's  Canulated 32  II. 

Wire  Cutting 72  III. 

SchafEer's  Scoop 83  II. 

Schlotterbeck's  Speculum 66  III. 

Schofield's  Inhaler 91  II. 

Scholler's  Cord  Carrier 105  III. 

Schroetter's  Laryngeal   Cautery 

Electrodes 113  I. 

Laryngoscope 77  II. 

Laryngeal  Lancet 81  II. 

Laryngeal  Forceps 81  II. 

Schuppert's  Galvanic  Truss 15  IV. 


Page  Part 

Schuyler's  Speculum  Vaginae 4  S. 

Schweig's  Urethral  Stricture  Dilator     31  S. 

Scoliosis,  Brace 3, 135  IV. 

Scoop,  Bone 22  I. 

Laryngeal 83  II. 

Lithotomy 39,  40  III. 

Rectal 120  III. 

Sessile  Tumor 9  S. 

Siemon's 74  III. 

Urethral 45  III. 

Uterine 74    IIL    9  S. 

Screw  Elevator,  Dental 9  V. 

Oral 60  II. 

Scrotal  Instruments 46  III. 

Sea-tangle  Tents 77,  90  III. 

Searchers,  for  Stone  in  the  Bladder.     31  III. 

Section-Cutter,  Microscopic 91  I. 

Knives,  Microscopic 91  I. 

Enlarging  Knives,  Eye 31  II. 

Razor,  Microscopic 92  I. 

Segala's  Speculum  Vaginae 54  III. 

Seeger's  Brush  Holder 85  II. 

Tobold's  Laryngoscope 76  II. 

Steam  Nebulizer 88  II. 

Seguin's  Thermometers 76  I. 

Seizing  Forceps 63,  67  II. 

Forceps 68  IIL 

Self- Adjusting  Truss 13  IV. 

Retaining  Catheter 15,  18  III. 

Retaining  Catheter 18  S. 

Semeleder's  Laryngoscope 78  II. 

Seminal  Cord  Compress 134  IV. 

Sequestrum  Forceps 10,  24  I. 

Forceps 12  V. 

Serres-fins 30  I. 

Sessile  Tumor  Scoop 9  S. 

Seton  Needle 54  I. 

Sexton's  Ear  Douche 50  II. 

Nozzle,  Politzer 39  II. 

Insufflator 6  S. 

Seymour's    General    Operating 

Case 25  I. 

Shaffer's  Knee  Splint 90  IV. 

Lateral  Screw 88  IV. 

Ankle  Supports 24  S. 

Ball  and  Socket  Pivot 24  S. 

Clubfoot  Shoe 23  S. 

Plaster  Zone,  Spinal 25  S. 

Sharp-pointed  Bistoury  . .  6,  46,  48, 

54,  56,  60,  61,  62  I. 

Lithotomy  Scalpels 40  HI. 

Shears,  Plaster  Paris 133  TV. 

Brun's 133  IV. 

Esmarch's 133  IV. 

Henry's 66  IV. 


Alphabetical  Index. 


06  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Page  Part 

Shears,  Sayre's 124  IV. 

Szymanowsky's 133  IV. 

Wackerliagen's 103  IV. 

Short-Leg  Extension  Apparatus 25  IV. 

Shot  Compressor 115  HI- 

Shoulder  Braces 1  IV. 

Dislocation  Brace 24  IV. 

Shrady's  Colle's  Fracture  Apparatus    79  IV. 

Subcutaneous  Saw 26  S. 

Shrimpton's  Smith  Splint 94  IV. 

Forceps 96  IV. 

Sickle-shaped  Iris  Knife 32  II. 

Siemon's  Curette 74  III. 

Sieveking's  ^sthesiometer 85  I. 

Siegle's  Aural  Speculum 43  II. 

Sigismund's  P.  P.  Syringe 22  III. 

Sigmoid  Catheter 68  III. 

Silk,  Ligature  and  Suture 16  I. 

Silver  Suture  Wire    63  L 

Sims' Anal  Dilator 125  IIL 

Adjuster,  Suture 66  II. 

Adjuster,  Suture 67  III. 

Bivalve  Speculum 64  III. 

Blunt  Hook 67  III. 

Cases  of  Instruments 

59,  65,  67  III. 

Caustic  Forceps 74  III. 

Curette 74  III. 

Depressor 68  III. 

Ecraseur,  Port  Chain 99  III. 

Elevator 75  III. 

Enucleator 99  III. 

Knives  and  Holder 81  III. 

Needle  Forceps 72,  123  III. 

Pessary  Introducer 91  III. 

Port  Chain  Ecraseur 99  III. 

Pulley,  or  Fork 67  III. 

Redressor,  Uterine 76  III. 

Rotating  Knife 80  III. 

Scalpel 68  III. 

Scissors 70  III. 

Seizing  Forceps 68  III. 

Sigmoid  Catheter 68  III. 

Speculum,  Duck-Bill 64,67  III. 

Speculum,  Modified 12  S. 

Tampon  Screw 99  IIL 

Tenaculum 68  III. 

Twisting  Forceps 66  II. 

Uterine  Case 59  III. 

Uterine  Dilator 77  III. 

Uterine  Elevator 75  III. 

Vesico-Vaginal  Fistula 

Cases 65,  67  III. 

Vaginal  Dilator 66  III. 

Vulsellum  Hook 99  III. 


Page  Part 

Simpson's  Cephalotrite 114  III. 

Cranioclast 113  III. 

Hysterotome 80  III. 

Obstetrical  Forceps 104  III. 

Perforator Ill  III. 

Sound,  Uterine 75  III. 

Uterine  Dilators 77  III. 

Simrock's  Ear  Scissors 37  II. 

Laryngeal  Forceps 82  II. 

Nasal  Speculum 57  II. 

Otoscope 35  11. 

Polypus  Forceps 57  II. 

Rhinoscope 58  11. 

Skeleton,  Human 130  I. 

Skene's  Cystocele  Pessary 18  S. 

Double  Perforated  Catheter  .     18  S. 

Endoscope 17  S. 

Fissure  Knife 67  III. 

Fissure  Probe 67  III. 

Instillation  Tube 65  III. 

Perineum  Needle 115,123  IIL 

Reflux  Catheter 59  III. 

Reflux  Catheter 18  S. 

Self -Retaining  Catheter 18  S. 

Sound  and  Scarifyer 80  III. 

Uterine  Case 59  III. 

Uterine  Sound 75  IIL 

Uterine  Sector 32  S. 

Uro-Cystic    and   Urethral 

Case 17  III. 

Urethral  Speculum 2  III. 

Urinal  Cup  Pessary 91  III. 

Skey's  Arterial  Compressor 34  I. 

Skinner's  Fracture  Bed 57  IV. 

Skin-Grafting  Scissors 90  I. 

Scissors 11  V. 

Skulls 130  I. 

Sleigh  Pessary 88  IIL 

Slide-catch  Artery  Forceps 44  I. 

Artery  Forceps 119  III. 

Sliding  Uterine  Sound 76  IIL 

Smellie's  Perforator Ill  Ill- 
Smith's  Anterior  Splint 54,  74,  94  IV. 

Artificial  Femur 107  IV. 

Artificial  Forearm 109  IV. 

Artificial  Humerus 109  IV. 

Artificial  Tibia 108  IV. 

Haemorrhoidal  Clamp 119  III. 

Harelip  Forceps 60  II. 

Lithotome 40  III. 

Pessary 87  III. 

Pile  Clamp 119  IIL 

Ununited  Fracture  Apparatus  106  IV. 

(Geo.  K.)  Urethrotome 27  III. 

Wire  Ecraseur 92,93  IIL 


AliPHABJSTlCAL   InDEX. 

67  CHATHAM  STREET,  NEW  YORK.  27 

Branch  Store,  107  East  28th  St.,  N.  Y. 


Page  Part 

Smith's  (Haywood)  Scissors 80  H- 

Snellen's  Eye  Case 28  II. 

Entropium  Forceps 1  II- 

Soft  Rubber  Catheter,  Velvet  Eye..     11  S. 

Sole,  for  Flat  Foot 26  IV. 

Sonde  a  Dart 42  III. 

Sounds,  Sets,  in  Cases 4, 8  III. 

Sound,  Conical,  Steel 7  III. 

Cupped 21  III. 

Guages 3,  5,  6  III. 

Lithotomy 31  III. 

Steel 7  III. 

Uterine 73,  75,  76,  77,  78  III. 

Spatula,  Eye 27  II. 

For  Pocket  Case 44, 52  I. 

Specula,  Anal 117  HI. 

Aural 34  II. 

Nasal 55  II. 

Ophthalmic 4  II. 

Oral 60  II. 

Rectal 117,118,125  III. 

Urethral 2,  11  III. 

Uterine 77,78,79  III. 

Vaginal 51  III. 

Vaginal 4,  12,  26,  28  S. 

Speculum  Chairs 124,  125  I. 

Spermatorrhoea  Ring 7  III. 

Speir's  Artery  Constrictor 36  I. 

Ear  Case 48  II. 

Ear-Curette 45  II. 

Ear  Speculum 35  II. 

Echoscope 83  I. 

Lachrymal  Catheter 6  II. 

George's  Inhaler 117  I. 

George's  Inhaler 16  S. 

Spencer  Well's  (see  Well's). 

Spicula  Forceps,  Dental 7  V. 

Spinal  Ice  Bags 120  IV. 

Hot  Water  Bags 120  IV. 

Spine  Braces. ...  2,  3,  4,  8,  127,  133,  135  IV. 

Braces 25  S. 

Spirometers 98  II. 

Sphygmographs 87  I. 

Splints,  and  Material  for 67  IV. 

Splinter  Forceps 12  V. 

Splitting  Forceps,  Dental 7  V. 

Sponge  Dilator 14  V. 

Forceps 68  III. 

Holders 84  IL 

Holders 68  IIL 

Tents 77,90  IIL 

Tent,  Wallace's 13  V. 

Tent  Expellers 73,  76  III 

Spoon,  Sharp,  Piffard's 11  V. 

(See  Curettes.) 


Page  Part 

Spray  Apparatus,  Atomizers. .  87,88,89  II. 

Antiseptic 119,  120,  121  I. 

Cautery,  Wight's 2  S. 

Spring-catch  Artery  Forceps  .  .    .  30,  44  I. 

Spring  Lancets 66  I. 

for  Inverted  Nails 12  V. 

Tent,  Wallace's 13  V. 

Spud,  Eye 27  II. 

Piffard's  Scarifying 11  V. 

Squibb's  Ether  Inhaler 115  I. 

Squire's  Vertebrated  Catheter 13  III. 

Stanley's  Hernia  Director 44  I. 

Stanchion 83  IV. 

Stanford's  Probang 5  S. 

Staff  Surgeons'  XJ.  S.  A.  Capital 

Operating  Case 29  I. 

Staff,  Buck's 29  III. 

Dowell's 40  III. 

Hewitt's 29  III. 

Lithotomy 38,  40  III. 

Little's 38  IIL 

Markoe's 38  IIL 

Symes' 29  IIL 

Whitehead's 28  III. 

Wood's 38  IIL 

Stag  Foot  Elevator,  Dental 9  V. 

Staphylorrhaphy  Instruments 66  II. 

Instruments 10  V. 

Instruments 10  S. 

Starch  Bandage  Shears 133  IV. 

Steam  Atomizers 88  II. 

Steam's  Artery  Claws  and  Forceps .  26  I. 

Dilating  Urethrotome 22  S. 

Urethral  Dilator 23  IH. 

Steel  Bivalve  Speculum  Vaginae 60  III. 

Nasal  Speculum 55  II. 

Sounds 31  III. 

Staffs 38  IIL 

Stem  Pessaries 90,  91  III. 

Stethoscopes 81  I. 

Stethometers 84,  86  I. 

Steurer's  Aspirator 132  I. 

Dilator 12  S. 

Stewart's  Hernia  Knife 126  III. 

Stilling's  Canalicula  Knife 8  II. 

Stillman's  Knee-joint  Splint 31  S. 

Ratchets,  Brackets 133  IV. 

Stimson's  Hypodermic  SjTinge 71  I. 

Needle  Forceps 63  I. 

Needle  Forceps 14  V. 

Stiptic  Cotton 73  IV. 

Stockings,  Elastic  (Lace) 53  IV. 

Stohlmann's  Hysterotome 80  III. 

Saw,  Beads ; 7  S. 

Speculum  Vaginae 62  III. 


Alphabetical  Index. 

28  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Page  Part 

Stoelirer's  Galvanic  Battery 100  I. 

Stokes'  Stethoscope 81  I. 

Eye  Lid  Compressor 2  IL 

Stomach  Pump 99,  100  II. 

Tubes 101  II. 

Stone,  in  Bladder,  Instrument  for  . .     31  III. 

Cases  of  Instriunents .  14,16,17  III. 

Stoerk's  Drop  Tube 86  II. 

Storer's  Clamp  Shield 96  III. 

Speculum  Vaginae 58  III. 

Uterine  Scarificator 80  III. 

Store's  Retroversion  Elevator 75  III. 

Strabism.us  Case 5  II. 

Instruments 12  II. 

Strabometer 12  II. 

Straight  Jacket 113  IV. 

Strawbridge's  Keratome  Scissors. . .     31  II. 

Cataract  Scissors 31  II. 

Stricture  Cases  of  Instrum.eiits . 

10,  12,  14  III. 

Cutters 25,26,37,28  III. 

Dilators 23  III. 

Dilator 31  S. 

Divulsors 23  III. 

Explorers 9  III. 

CEsophageal 84  II. 

Rectal 117,  118,  119  III. 

Urethral 9  III. 

Students'  Aneurism  Needle 28  I. 

Lamp 76  II. 

Stump  Forceps,  Dental 2  V. 

Styptic  Cotton 54  IV. 

Styles,  Eye 10  IL 

Subcutaneous  (Hypodermic)  Sy- 
ringes       70  I. 

Section  Knife 3  S. 

Saws 3,26  S. 

Substitute  for  the  Hand 21  IV. 

Supporters 9  IV. 

Uterine 86  III. 

Suppository  Tube 118  III. 

Supra-Pubic  Puncture,  Bladder. ...     30  III. 

Lithotomy 42  III. 

Suspensory  Bandages 19,  20  IV. 

Suspension  Apparatus ...  74,  80, 96, 

110,  128  IV. 

Sussdorff's  Tupelo  Dilators 11  S. 

Suture,  Automatic 5  S. 

Suture  Needles 63  I. 

Silk 16  I. 

"Wire 63  I. 

Syme's  Abscess  Knife 58  I. 

Staff 29  III. 

Syringe,  Anatomical 94  I. 

Caustic 21  III. 


Page  Part 

Syringe,  Davidson's 82  III. 

Dick's  Caustic 21  III. 

Ear 49  II. 

Gonorrhoea 22  III. 

Hypodermic 70  I. 

Lachrymal 6  II. 

Maw's 84  III. 

Microscopic . . , 93  I. 

Nozzle,  Otis' 22  III. 

Penis 21  III. 

Rectal 120  III. 

Universal 102  II. 

Urethral 21  III. 

Vaginal 83,84  III. 

Woodward's 84  III. 

Syphon,  Nasal 57,58  II. 

Rectal ^118  IIL 

Vaginal 82  IIL 

Szymanowsky's  Gouge 24  I. 

Saw 14  I. 

Shears,  Bandage 133  IV. 

Talipes  Calcaneus  Apparatus 31  IV. 

Equinus  Apparatus 27,  28  IV. 

Valgus  Apparatus 31  IV. 

Varus  Apparatus 29  IV. 

Tampon,  Epistaxis 56  II. 

Tracheal 96  IL 

Tape  Measure IV. 

Tardieu's  Trachea  Scissors 94  IL 

Tarnier's  Obstetrical  Forceps 105  III. 

Obstetrical  Forceps 13  S. 

Tarsitani's  Obstetrical  Forceps  ....  107  III. 

Tattoeing  Needles 33  II. 

Taylor's  Blunt  Hook 112  IIL 

Hip  Joint  Splint 45  IV. 

Obstetrical  Case 71  IIL 

Obstetrical  Forceps 107  III. 

Phymosis  Scissors 1  IIL 

Spine  Brace 8  IV. 

Urethral  Syringe 22  III. 

Teevan's  Lithotrite 32,  35  III. 

Lithotomy  Forceps 39  III. 

Stricture  Cutter 28  III. 

Tunnelled  Catheter 19  III. 

Telescopic  Ear  Trumpet 54  II. 

Speculum 56  IIL 

Teller's  Vaccinator 66  I. 

Tenaculum,  Amputating 4  I. 

Buttle's 74  IIL 

Double 98  III. 

Emmett's 57  IIL 

Emmett's  Double 13  V. 

Keith's 42  III. 

Little's 48  L 


Alphabetical  Index. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  SSth  St.,  N.  Y. 


29 


Page  Part 

Tenaculum,  Nott's 98  HI. 

Operating 6  I. 

Pocket  Case 58,  60  I. 

Staphylorrhaphy 66,  67  II. 

Tenaculum  Forceps 63  II. 

Forceps 98  III. 

Forceps 2  S. 

Needle,  Cleborne's 14  S. 

Tendo  Achillis  Brace 28  IV. 

Tenotomes 6,  58,  61  I. 

Use 28  IV. 

Tents,  Sponge 77,  90  III. 

Spring 13  V. 

Tupelo 11  S. 

Test,  Drum 7  II. 

Tubes 80  f . 

Thebfaud's  Sphincter  Ani  Dilator  .  119  III. 

Urethral  Stricture  Dilator  ...     24  III. 

Theobald's  Probes 16  S. 

Thermo  Cautery 134  I. 

Thermometers 75  I. 

Thermometers 9  S. 

Thomas'  Antiflexion  Pessary 89  III. 

Anteversion  Pessary 87,  91  III. 

Craniotomy  Forceps 113  III. 

Clamp,  Ovarian 94  III. 

Clamp,  Vaginal  Wounds 102  III. 

Cusco's  Speculum  Vaginae  . .     54  III. 

Cutter's  Pessary 87  III. 

Dilating  Forceps 78  III. 

Dry  Cupper 81  III. 

Elastic  Probe 73  III. 

Galvanic  Pessary 90  III. 

Hard  Rubber  Probe 73  III. 

Intra-Uterine  Pessary 89  III. 

Latest  Speculum 60  III. 

Obstetrical  Case 69  III. 

Obstetrical  Forceps 106  III. 

Perforator 112  III. 

Punching  Forceps 81  III. 

Retroflexion  Pessary 89  III. 

Retroversion  Pessary 87  III. 

Sac  Forceps '; .     96  III. 

Scoop,  for  Sessile  Tumors. . .       9  S. 

Sim's  Speculum 60  III. 

Supporter,  Abdominal 17  IV. 

Telescopic  Speculum 56  III. 

Tissue  Forceps 96  III. 

Trocar 102  III. 

Tubular  Speculum 56  III. 

•Uterine  Case 57  III. 

Uterine  Dilator 79  III. 

Uterine  Probes 73  III. 

Wound  Clamp 102  III. 

Thomasin's  Bullet  Forceps 42  I. 


Page  Part 

Thomjoson's  Bougie 11  III. 

Catheter,  Rubber 18  III. 

Catheter,  Retention 13  III. 

Divulsor 23  III. 

Ecraseur 93  III. 

Ecraseur 5  S. 

Lithotrite 32,  35  III. 

Measure,  Litho 44  III. 

Optometer 23  II. 

Prostatic  Sound 19  III. 

Retention  Catheter 13  III. 

Searcher,  for  Stone 31  III. 

Urethral  Forceps 45  III. 

Vulcanite  Catheter 18  III. 

Three-Fold  Pocket  Case 41  I. 

Throat  Forceps 82  II. 

Lancet 82  II. 

Thudichum's  Nasal  Douche 57  II. 

Nasal  Speculum 55  II. 

Thumb  Lancet 56  I. 

Tibia  Curvature,  Brace 37  IV. 

Fracture  Apparatus 73  IV. 

Ununited  Fracture .  ^.  • 108  IV. 

Tiemann  &  Co.'s  Arm  Sling 93  IV. 

Artificial  Leech 65  I. 

Aspirator 133  I. 

Atomizer 88  II. 

Patent  Bent  Thermometer  . .  9  S. 

Bottle,  Hypodermic 15  S. 

Bullet  Forceps 42  I. 

Bullet  Screw 40  I. 

Bullet  Seeker 40  I. 

Clubfoot  Shoe 29  IV. 

.  Drill  Stock 8  L 

Ear  Forceps 47  II. 

Ecraseur 93  III. 

Electrodes 108  I. 

Embryotomy  Forceps ...... .  110  III. 

Entropium  Forceps 1  II. 

Exploring  Trocar 90  I. 

Finger  Pad  Truss 14  IV. 

Hypodermic  Syringe 72  I. 

Hypodermic  Sjn-inge  Bottle  .  15  S. 

Hollow  Needle 28  I. 

Knee  Cap,  Patella 72  IV. 

Laryngoscope 69  II. 

Laryngeal  Scoop 83  II. 

Leech 65  I. 

Long  Chain  Ecraseur 93  III. 

Movable  Point  Scissors 81  II. 

Patent  Pocket  Case 49,  62  I. 

Quatrivalve  Speculum 58  III. 

Saw,  Capital 2  I. 

Scarificator 64  I. 

Section  Knife 91  I. 


Alphabetical  Index. 

30  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Page  Part 

Tiemaim  &  Co.'s  Spine  Braces 2  IV. 

Spring  Lancet 66  I. 

Steam  Atomizer 88  II. 

Stomach  Pnmp.  . .  ; 100  II. 

Speculum  Vagime 58  III. 

Supporter 86  III. 

Thermometer 76  I. 

Tonsilotome 65  II. 

Torticollis  Brace 7  IV. 

Tracheotome 93  II. 

Tracheal  Aspirator 96  II. 

Trachea  Forceps 95  II. 

Trephine  Handle 12  I. 

Trivalve  Speculum 64  III. 

Truss,  Finger  Pad 14  IV. 

Tourniquet 38  I. 

Universal  Ear  Forceps 47  II. 

Universal  Trachea  Forceps . .     94  II. 

Universal  Syringe 90  II. 

Universal  Syringe 84  III. 

Uterine  Speculum 78  III. 

Uterine  Supporter 86  III. 

Uvulatome... 64  II. 

Vaccinators 66  I. 

Velvet  Eye  Catheter 11  S. 

Tin  Splints,  Barwell's 38  IV. 

Tirefond 16  I. 

Tobold's  Concealed  Lancet 80  II. 

Laryngoscope 76  II. 

Laryngeal  Knives 80  II. 

Laryngeal  Syringe 86  II. 

Pneumatic  Apparatus 97  II. 

Tonsil  Hook 64  II. 

Instruments 63,  64,  65  II. 

Scissors 65  II. 

Tonsilotomes 63,  64,  65  II. 

Toes,  Luxation  of 83  IV. 

Overriding,  Apparatus 39  IV. 

Tongue  Depressors 61,  62  11. 

Forceps 61,  63  II. 

Holders 61  IL 

Tie 50,  61  I. 

Tooth  Elevators 9  V. 

Forceps 1  V. 

Keys 8  V. 

Torsion  (Tortion)  Forceps. ...  28,  30,  54  I. 

Torticollis  Braces 6,  7,  IV. 

Braces 14  S. 

Toswill's  Stomach  Pump 100  II. 

Tourniquets 32  I. 

Tourniquet,  Esmarch's 119  IV. 

Laurence's  Eyelid 1  II. 

Uterine,  Emmett's 14  V. 

Toynbee's  Diagnostic  Tube 43  II. 

Ear  Case 48  II. 


Page  Part 

Toynbee's  Ear  Specula ...     35  II. 

Explorer 43  II. 

Tympanum 37  II. 

Trachea  Canulas 94,  95  II. 

Canulas 6  S. 

Retractor,  Minor's 14  V. 

Tampon 96  II. 

Tracheal  Aspirator 96  II. 

Tracheotome,  Hank's 6  S. 

Tracheotomy  Instruments ,93  II. 

Tractors 20  I. 

Tractors 4,  31  II. 

Transfusion  Apparatus 67.  I. 

Transplantation  Scissors  ...    90  I. 

Trask's  Pessaries 90  III. 

Trelat's  Urethrotome 26  IIL 

Trellis'  Speculum  Ani 117  III. 

Trendelenburg's  Trachea  Tampon  .     96  II. 

Trepan : 20  I. 

Trepanning  Case 49  I. 

Elevators 10,  14  I. 

Raspatory 10  I: 

Scalpel 4  I. 

Trephines 12  I. 

Trephine  Handles 12  I. 

Trial  Cases,  Nachet's 23  II. 

Trichiasis  Forceps 2  II. 

Tripod,  Sayre's 129  IV. 

Post  Mortem 95  I. 

Trivalve  Speculum  Vaginse 64  III. 

Trellis'  Speculum 117  III. 

Trocars,  Abdominal 101,  102  III. 

Exploring 90  I. 

Hydrocele 46,  47,  48  III. 

Rectal 30  III. 

Thoracic 101  IIL 

Troeltsch's  Ear  Mirror 34  II. 

Trousseaux's  Pile  Supporter 124  III. 

Trachea  Dilator 94  IL 

Trachea  Forceps . .     95  II. 

Trueheart's  Knock  Knee  Brace 131  IV. 

Obstetrical  Forceps 108  III. 

Perforator 114  III. 

Trumpets,  Ear 51  II. 

Trusses 9  IV. 

Tuning  Fork 43  II. 

Tunnelled  Catheter,  Trevan's 19  III. 

Sounds 11  III- 

Urethrotomes 25,  26  III. 

Tumor,  Uterine,  Ecraseurs 92  III. 

Forceps,  Uterine. 97  III. 

Ovarian,  Instruments.  92,93, 

94,  95,  96,  97,  98,  99  III. 

Tupelo  Dilators,  Sussdorf's 11  S. 

Turk's  Tongue  Depressor 62  IL 


AlphabeticaIj  Index. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28tu  St.,  N.  Y. 


ai 


Page  Part 

Turnbull's  Ear  Case 40  II. 

Ice  Bag 121  IV. 

Turn-Keys 8  V. 

Turner's  Applicator 65  III. 

Patella  Splint 68  IV. 

Twisting  Forceps,  Emmett's 13  V. 

Forceps,  Wire 66  II. 

Forceps,  Fitch's 9  S. 

Two-Fold  Pocket  Case 41  I. 

Tympanum,  Artificial 37,  51  II. 

Perforator 37,  38  II. 

Tyrrell's  Iris  Hooks 30  II. 

Ulna  and  Radius,  Dislocated 93  IV. 

Umbilical  Bandage 9  IV. 

and  Abdominal  Hernia 132  IV. 

Truss 9  IV. 

Universal  Douche 102  II. 

Forceps,  Tracheal 94  II. 

Syringe 90  II. 

Syringe 84  III. 

Tooth  Forceps 4  V. 

Ununited  Fracture,  Apparatus 

21,  40,  106,  107,  108,  109  IV. 

Unison  Resonator 9  S. 

Up  de  Graff's  Ear  Spout 49  II. 

Staphylorrbaphy  Case  ...     10  V. 

Uraniscoplastic  Instruments 66  II. 

Urea  Tube 78  I. 

Urethrameter,  Gross' 19  S. 

Otis' 27  III. 

Weir's 18  S. 

Urethral  Applicators 21  III. 

Catheters 20  III. 

Cases  of  Instruments  .... 

4,  8,  10, 12  III. 

Diagnosis  Instruments 2  III. 

Dilators 23  III. 

Dilators 12,  20,  31  S. 

Divulsors 23  III. 

Forceps 45  III. 

Sounds 31  III. 

Staffs 38  III. 

Specula 2,  11  III. 

Syringes 21,22  III. 

Urethrometric  Sound 28  S. 

Urethrotome,  Banks' 1  S. 

Bates' 18  S. 

Bumstead's 27  III. 

Bumstead's  Maisonneuve 26  III. 

Charriere's 26  III. 

Civiale's 26  III. 

Gouley's  Dilating 27  III. 

Gouley's  Improved 26  III. 

Gouley's  Tunnelled 25  III. 


Page 

Urethrotome,  Gross' 25 

Gross' 20 

Hunter's  Divulsing 22 

Kinloch's  Dilating 11 

Mastin's 26 

Mastin's  Maisonneuve 25 

Milne's  Dilating 2 

Otis'  Dilating 25,  27 

Peters' 25 

Pritchet's 21 

Smith's,  Geo.  K 27 

Teevan's 28 

Trelat's 26 

Voillemier's 26 

Westmoreland's 28 

Whitehead's 28 

Urethrotomy,  External 28,  29 

Internal 25 

Urinals  for  Incontinence 47 

for  Incontinence 20 

Urinary  Examinations,  Apparatus. .     77 

Urinometer 78 

U.  S.  A.  Bullet  Forceps 40 

Capital  Operating  Case  . .     27 

Field  Tourniquet 32 

Pocket  Case 45 

Staif     Surgeons'     Capital 

Operating  Case 29 

StaflFSurgeons'  Minor  Ope- 
rating Case 39 

TJro-Cystic  and  Urethral  Case. .     17 

Uterine  Applicators 65,  73,  82,  83 

Cases  of  Instruments  .... 

53,  55,  57,  59,  61,  63,  65 

Dilators 77,  78,  79 

Displacement  Apparatus  ....     85 

Dressing  Instruments 74 

Dressing  Instruments 13 

Electrodes 106,  107 

Elevators 75 

Excision  Instruments 81 

Forceps 74 

Injectors 82,  83,  84 

Knives 74 

Leeches 2 

Probes 71,73 

Repositor 85 

Sets     of    Instruments    in 
Cases. .  53,  55,  57,  59,  61,  63,  65 

Scarif  yers 80 

Scissors 70,  71,  81 

Sector,  Skene's 32 

Specula 78 

Supporters 86 

Tenacula 57 


Part 
III. 

S. 

s. 

s. 
III. 
III. 

s. 
III. 
III. 

s. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 
III. 

IV. 

I. 
I. 
I. 
I. 
I. 
I. 


I. 
III. 
III. 

III. 
III. 
III. 
III. 

V. 

I. 
III. 
III. 
III. 
III. 
III. 

s. 
III. 
III. 

III. 
III. 
III. 
s. 
III. 
III. 

HI. 


Alphabetical  Index. 

32  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparke. 


Page  Part 

Uterine  Tourniquet 14  V. 

Tumor  Instruments 92  III. 

Uterotome,  Peaslee's 81  III. 

Uvula  Hoolv,  Roe's 84  II. 

Instruments 63  II. 

Scissors 64  II. 

Uvulatomes 64  II. 

Vaccinators 66  I. 

Yaginal 51  III. 

Dilators 66  III. 

Douches 82  III. 

Electrodes 107  I. 

Specula 51  III. 

Support 18  S. 

Syringes 84  III. 

Yalentine's  Section  Knives 91  I. 

Valgus,  Talipes 31  IV. 

Van  Buren's  Cupped  Sound 21  III. 

Case  of  Sounds 8  III. 

Debris  SjTinge 44  III. 

Double  Tube 30  III. 

Evacuating  Catheter 44  III. 

Fumigation  Lamp 48  III. 

Ligator 92,  122  III. 

Pocket  Case 45  I. 

Sequestrum  Forceps  ........  24  I. 

Sequestrum  Forceps 12  V. 

Sounds,  Case  of 8  III. 

Van  Burcn  &  Keye's  American  Scale  5  III. 

Case  of  Urethral  Instru- 
ments   4  III. 

Case   of  Urethral   Instru- 
ments    8  III. 

Case  of  Stone  Instruments  14  III. 

Vance's  ^Esthesiometer 86  I. 

Hypodermic  Syringe 71  I. 

Urine  Test  Case 80  I. 

Van  Huvel's  Forceps  Saw 113  III. 

Vanderveer's  Uterine  Dilator 79  III. 

Varicocele 47  III. 

Varicose  Veins,  Stockings 53  IV. 

Vapor  Bath 92  II. 

Verona's  Winch 125  IIL 

Vectis 105,  109  IIL 

Vedder's  Obstetrical  Forceps 108  III. 

Velpeau's  Writers' Cramp  Apparatus  181  IV. 

Velvet  Eye  Catheter 11  S. 

Vesical  Electrode 107  I. 

Vesico-Vaginal  Fistula 67  III. 

Fistula  Cases 63,  65,  67  III. 

Vivisection 97  •      I. 

Vial  Cases 136  I. 

Voltaic  Armadillo 104  I. 

Voillemier's  Stricture  Dilators 24  III. 


Page  Part 

Voillemier's  Urethrotome 26  III. 

Von  Bruns'  Cotton  Lint 56  IV. 

Wound  Dressing 122  I. 

Vulsellum  Forceps 63,  64  II. 

Hook 99  III. 

Wackerhagen's  Applicator 77  III. 

New  Fracture  Dressing 67  IV. 

Plaster  Paris,  Splint 101  IV. 

Pelvis  Fixator 103  IV. 

Plaster  Paris  Shears 103  IV. 

Speculum  Vaginae 60  III. 

Splint 103  IV. 

Wagner's  Brush  Holder 85  II. 

Wales'  Rectal  Bougie 125  III. 

Rectal  Dilators 8  S. 

Waldau's  Reflector 78  11. 

Waldenburg's  Pneumatic  Apparatus     97  II. 

Pnematometer 97  II. 

Walker's  Combination  Supporter  . .  132  IV. 

Walking  Cane  Ear  Trumpet 54  II.. 

Wallace's  Spring  Tent 13  V. 

Walsh's  Stethoscope 81  I. 

Walton's  Depression  Needle 33  II. 

Grooved  Needle 33  11. 

Iris  Forceps 32  II. 

Warm  Water  in  Surgery 114  IV. 

Warner's  Catarrhal  Douche 90  II. 

Washburn's  Hip  Joint  Splint 47  IV. 

Spine  Brace 5  IV. 

Washing,  Bladder 37,  49  III. 

Water  Bath 79  I. 

Bath 115  IV. 

Oven 79  I. 

Weak  Ankle  Brace 25,  27  IV. 

Legs  Apparatus 32  IV. 

Weber's  Canalicula  Dilator 6  II. 

Canalicula  Knives 8  II. 

Pessary 91  III. 

Speculum  Vaginae 51  HI. 

Tympauitome 38  II. 

Wecker's  Iridectomy  Scissors 31  II. 

Lachrymal  Canula 4  II. 

Weir's  Antiseptic  Spray  Apparatus.   120  I. 

Antiseptic  Spray  Apparatus  .     15  S. 

Mouth  Gag IG  S. 

Meatoscope 2  III. 

Pocket  Case ; . . .     53  I. 

Vaccinators 66  I. 

Weiss'  Speculum 64  HI. 

Welker's  Iridectonle 30  II. 

Welles'  Trachea  Retractor 93  II. 

Clamp..; 94  IIL 

Clamp  Forceps 96  HI 

Pedicle  Clamp 95  III. 


ALrnABETiCAL  Indkx. 


67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  IO7  East  SStu  St.,  N.Y. 


33 


Page    Part 

Welles'  Sac  Forceps 97  III. 

Torsion  Forceps 94  III. 

Trachea  Retractors 93  II. 

Trocar 102  III. 

Vv'estmoreland's  Speculum  Oris 61  II. 

Stricture  Instrument 28  III. 

Whalebone  Guides 11  m. 

Probang 74  ni. 

Piobe 73  III. 

Wheelock's  Reverse  Flow  Syringe  .     22  III. 

White's  Haemarheumoscope 88  I. 

Hysterotome 80  III. 

Obstetrical  Forceps 103  III. 

Perforator 114  m. 

Uterine  Dilator 79  HI. 

Uterine  Repositor 85  HI. 

Whitehead's  Gum  Knife QQ  H. 

Hoe (36  II 

Mouth  Gag 60  II. 

Paring  Knife 66  II. 

Pereosteotome 66  II. 

Rectal  Dilator 118  HI. 

Seizing  Forceps 66  II. 

Spiral  Needle 66  II. 

.    Staff  and  Knife 28  III. 

Urethrotome 28  HI. 

Wight's  Amputating  Knife 4  I. 

Artery  Forceps 26  I. 

Ligature  Forceps 26  I. 

Pocket  Case 53  i 

Spray  Cauterj^ 2  S. 

Wilde's  Canulated  Needle 32  II. 

Canulated  Forceps 32  n. 

Canulated  Scissors 32  II. 

Ear  Gorget 34  ii_ 

Ear  Specula 34  n 

Polypus  Snare 45  ii_ 

William's  Lachrymal  Dilator 7  H. 

Lachrymal  Probes 7  n. 

Rectal  Speculum 125  HI. 

Styles,  Lachrymal 7  H. 


Pagf;    Part 

Winterich's  Percussion  Hammer. . .     82  I. 

Winternitz's  Psychrophor 12  S. 

Wire  Adjuster 67  HI. 

Gauze  Hip  Splint 43  IV. 

Gauze  Splint,  Byrd's 5o  IV. 

Iron,  Suture 63  I. 

Needles 63  I. 

Silver,  Suture 63  I. 

Twister 72  m. 

Twister 9  g 

Twisting  Forceps 66  II. 

Twisting  Forceps 13  V. 

Wisdom  Tooth  Forceps 2  V. 

Wolverton's  Tooth  Forceps 4  V. 

Wood's  Artery  Forceps 44  I. 

Bisector,  Lithotomy 38  HI. 

Circular  Knife 4  I. 

General  Operating  Case . .     13  I. 

Pocket  Case 47  i. 

Staff,  Lithotomy 38  IH. 

Torticollis  Brace 14  S. 

Trocar 47  m^ 

Truss 134  ly. 

Woodward's  Pessaries ,5  S. 

Pocket  Case 55  I. 

Speculum  Vaginae 54  m. 

Uterine  Douche 84  HI. 

Wound  Dressing  Cotton 56  IV. 

Wrist,  Contracted 13,5  IV. 

CoUe's  Fracture 79  IV. 

Wristlet,  Elastic 53  IV. 

Writers' Cramp,  Apparatus 131,132  IV. 

Wry  Neck,  Torticollis  Brace 6,  7  IV. 

Wutzer's  Hernia  Instrument 126  III. 

Wylie's  Cervical  Speculum 78  HI. 

Cervical  Probe 78  HI. 

Yarrow's  Enucleator 17  g. 

Yearsley's  Tonsil  Knife 63  II. 

Zaufal's  Nasal  Speculum 56  H. 

Zwank's  Pessary 88  III. 


THE   AMERICAN 

Armamentarium  Chirurgicum, 


ILLUSTKATIONS  OF  MODERN  SURGICAL  INSTRUMENTS  AND 
APPLIANCES,  ALSO,   LISTS   OF  CASES   OF  INSTRU- 
MENTS AS  RECOMMENDED  BY  EMINENT 
PROFESSORS    OF    SURGERY. 


FIVE    PARTS,    SUPPLEMENT   AND    PRICE    LIST 


GEORGE   TIEMANN   &   CO. 
67  Chatham  Steeet. 

Branch  Store-.  Stohlmann,  Pfarre  &  co. 

107  East  28th   Street, 
NEW  YORK. 


Part  I 


WooDWAED's  Pocket  Set  — see  ust,  Page  55. 


Please  do  JYOT  MUTILATE  this  Book. 

In  ordering,  merely  state  the  Part  of  the  Armamen- 
tarium, the  JVumher  of  the  Figure,  and  the  JVame  of  the 
article  desired. 

Instruments  not  mentioned  in  our  Price  List  will  he 
furnished  at  the  lowest  market  rates. 

When  GOODS  FOPl  REPAIR  are  directed  to  us,  the 
Owner's  JS^'ame  and  Address  should  accompany  them. 
This  will  enahle  us  to  return  them  to  the  proper  place 
and  person. 

Parties  finding  it  convenient  to  order  through  dealers 
are  requested  to  insist  upon  receiving  our  manufacture, 
as  otherwise  inferior  goods  are  frequently  substituted. 

All  instruments  of  our  make  have  our  name  stamped 
upon  them. 


Part  I. 


Geo.  Tiemann  &  Co.'s  Surgical  Instruments. 

iVo.  67   Chatham  Street. 

Branch  Store,  No.  107  East  28th  Street, 
NEW  YOEK. 


No.   I.     SET   OF  AMPUTATINa  INSTRUMENTS. 


1  Liston's  Knife,  Hip  and  Thigh. 

1  Liston's  Knife,  Leg  and  Arm. 

1  Catling,  small,  Hand  and  Foot. 

1  Scalpel. 

1  Tenaculum. 

1  Pair  Artery  Forceps. 


Price,   $25.00. 

1  Metacarpal  Saw. 
1  Capital  Saw. 
1  Tourniquet. 

12  Needles,  Silk,  "Wax,  and  Plastic  Pins. 
1  Pair  Bone  Forceps,  g.  st. 
1  Mahogany  Case  lined  with  oil-dyed  velvet. 


No.  II.     SET   OF  AMPUTATING-   INSTRUMENTS. 

Price,   $30.00. 


1  Liston's  long  Knife,  Hip  and  Thigh. 

1  Liston's  medium  Knife,  Leg  and  Arm. 

1  Catling. 

1  Scalpel,  chequered  handle. 

1  Tenaculum. 

1  Capital  Saw,  Fig.  3. 


1  Metacarpal  Saw. 

1  Pair  spring-catch  A.rtery  Forceps,  fenes- 
trated. 

1  Tourniquet. 
12  Needles,  Silk,  Wax,  and  Plastic  Pins. 

1  Pair  Liston's  Bone  Foi-ceps,  g.  st. 


1  Mahogany  Case  lined  with  oil-dyedvelvet. 


No.   III.     SET   OF  AMPUTATING  INSTRUMENTS. 


Price,   $35.00. 


Liston's  long  Knife,  Hips  and  Thigh. 

Liston's  medium  Knife,  Leg  and  Arm. 

Catling,  medium. 

Scalpel,  feruled. 

Tenaculum,  feruled. 

Capital  Saw,  Fig.  2. 

Metacarpal  Saw,  lifting  back. 


1  Pair  slide-catch   Artery  Forceps,  fenes- 
trated. 

1  Tourniquet. 
12  Needles,  Silk,  "Wax,  and  Plastic  Pins. 

1  Pair  Liston's  Bone  Forceps,  best. 

1  Fine  Rosewood  Case,  lined  with  oil-dyed 
velvet. 


COMPACT  AMPUTATING  SET. 

1  Parker's  Knife,  Fig.  8 $5.50 

1  Catling,  medium  size 3.00 

1  Finger  Knife,  French 2.00 

1  Scalpel 0.75 

1  Tenaculum 0.75 

1  Amputating  Saw,  lifting  back 4.00 

1  Metacarpal  Saw 1.50 

1  Liston's  Bone  Forceps,  best 3.00 

F.  A.  Stohlmann.  Edward  Pfarre. 


Part  I. 
GEO.  TIEMANN  &  GO'S  SURaTCAL  INSTRUMENTS, 


AMPUTATING. 


Fig.  1. — Tiemann  &  Co.'s  Bow  Saw,  with  2  blades. 


Fig.  \b. — Stohlmann's  Rotating  Saw. 


Fig.  2. — Tiemanu  &  Co.'s  Capital  Saw. 


Fig.  3&. — Satterlee's  Capital  Saw, 


Fig.  2c. — Parker's  Capital  Saw. 


F.  A.  Stohlmaun. 


Edward  Pfarre. 


Part  I. 

67    CHATHAM-STREET,    NEW-YORK.  3 

1  Pair  of  fenestrated  sprinc-catch  Artery  Forceps $2.00 

1  Tourniquet 2.00 

12  Needles,  Silk,  Wax,  Plastic  Pins 1.00 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 8.00 

Amount  $33.50 


AMPUTATING-  AISTD  TREPANNING"  SET. 

1  Liston's  long  Knife,  Hip  and  Thigh $4.£i0 

1        "       medium  Knife,  Leg  and  Arm 3.50 

1  Catling,  Foot  and  Hand 2.50 

1  Tenaculum    0.75 

1  Scalpel... ' 1.00 

1  Elevator  and  Raspatory 1.50 

1  Bruah 0.25 

1  Hey's  Saw , 1.75 

1  Capital  Saw     ... 5.00 

1  Metacarpal  Saw    , 1.50 

1  Gait's  conical  Trephine  and  handle 4.00 

1  Pair  spring-catch  fenestrated  Artery  Forceps 2.00 

1  Tourniquet -, 2.00 

1  Pair  Liston's  Bone  Forceps  3.00 

12  Needles,  Silk,  Wax,  Plastic  Pins 1.00 

1  Mahogany  or  Rosewood  Case,  lined  as  above , .     . .  10.00 

Amount  $44.25 


CAPITAL   OPERATING    SET. 

1  Capital  Saw $5.00 

1  Liston's  long  Knife  or  Catling,  Hip  and  Thigh 5.00 

1        "        medium  Knife  or  Catling,  Leg  and  Arm. ....... >  4.00 

1  Short  Catling  or  Breast  Knife .........=  2.00 

1  Scalpel,  chequered  handle 1.00 

1  Tenaculum , 0.75 

1  Pair  fenestrated  spring-catch  Artery  Forceps 2.00 

1  Pair  Liston's  Bone  Forceps. • 3.00 

1  Elevator  with  Raspatory , 1-50 

1  Brush.. 0.25 

1  Hey's  Saw .... 1.75 

1  Gait's  conical  Trephine  and  handle •  4.00 

1  Tourniquet .•       ■■  2.00 

12  Needles,  Silk,  Wax,  Plastic  Pins 1-00 

2  Small  Scalpels,  @  75  cts , 1-50 

1  Bistourie,  sharp-pointed 100 

1  Bistourie,  probe-pointed ^ 1  00 

F.  A.  Stohlmann.  Edward  PJterre. 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


AMPUTATING  AND  TEEPANNINa. 

Fig.  3. — Metacarpal  Saw. 


P.  A.  Stohlmann. 


l\tVAP^U^i-CO 

Trephines,  p.  12-20  ;   Elevators,  p.  10  ;   Tircfond,  p.  16. 

Edward  Pfarre.. 


Part  I. 

67    CHATHAM-STREET,   NEW-YORK.  5 

1  Bistourie,  finger $1.00 

1  Tenotome 1.00 

1  Trocar  and  Canula 2.00 

1  Aneurism  Needle 0.75 

1  Mahogany  Case,  lined  with  oil-dyed  velvet 10.50 

Amount  $52.00 


BUCK'S   G-ENERAL   OPEKATINa   SET. 

1  Liston's  long  Knife,  Hip  and  Thigh |4.50 

1       "        medium  Knife,  Leg  and  Arm ^  gy 

1  Metacarpal  Knife,  large 2  00 

1  Straight  Bistourie,  ferruled  handle. „ . . , -^  25 

1  Curved  Bistourie,  sharp  point -|^  25 

1  Curved  Bistourie,  probe  point , -^  25 


1  Hernia  Bistourie 


1.25 


1  Tenotome j  25 

4  Scalpels,  assorted  sizes,  @  $1.25 , , .  g  qq 

1  Tenaculum _  2^25 

1  Pair  Crampton's  Artery  Needles ^  qq 

1  Double-pronged  Hook , _  ^50 

1  Beer's  Cataract  Knife , -.  kq 

I  Desmarre's  Scarifying  Knife -|  qq 

1  Straight  Eye  Needle , ,  , . . .  1  25 

1  Curved  Eye  Needle ^25 

1  Gouge  and  Spud  for  removing  foreign  bodies  from  the  eye ,  2  00 

1  Folding  Probang  with  silver  Bucket 2  50 

1  Long  Bullet  Probe,  German  silver ^ 0  .50 

1  Nelaton's  Bullet  Probe , q  gQ 

1  Pair  German  silver  Retractors , , . . , _  ^  1  50 

1  Double  silver  Trachea  Tube ^ _  g  00 

1  Curved  Rongeur,  with  spring 3  50 

1  Ferguson's  Bone-Holding  Forceps,  lion  jaw 3  00 

1  Pair  Liston's  Bone  Forceps _  3  qO 

1  Pair  Sequestra  or  Toe-nail  Forceps 2  50 

1  Small  straight  Trocar  and  Canula o  qo 

1  Ferguson's  Bone-holding  Forceps,  crow-bin 3  00 

1  Rectum  Trocar  and  Canula,  curved, 3  Oq 

2  Gouges  @  11.50 o  qo 

2  Chissels  @  $1 g  qq 

1  Straight  Trocar  and  Canula,  large  size, 2  00 

1  Pair  Lithotomy  Forceps 2  50 

1  Glass  Ear  Speculum  0  50 

1  Tourniquet 2  OO 

4  Silver  Catheters,  Nos.  3,  6,  9,  12 §  OG 

1  Tiemann  &  Co.'s  Bullet  Forceps 2  25 

1  Steel  Director q  gO 

1  Pair  Coxeter's  Forceps 


1.00 


V.  A.  Stohlmann.  Edward  Pfarre. 


Part  I. 


GEO.  TIEMAKN  &  CO.S  SURGICAL  INSTRUMENTS, 


AMPUTATINQ,  TREPANNING  AND  MINOR  OPERATINa. 

Yio.  16.— BntcluT's  Bow  Saw,  Avitli  two  Blades. 


Double  Hook 
Operating  Scalpels.  Fig.  21. 

Fig.  17.    18.     19.    20. 


Tenotomes. 
Fig.  22.    23.    24.    25. 


ft 

i               ^ 

<v 

' 

o 

1 

o 

1 

^ 

1 

>^ 

(T) 

1 

<v 

u 

< 

ill 

* 

a 

=  « 

5 

n 

n 

•^ 

"      1 

W 

p^ 


Bistouries. 
Fig.  26.  27.      28.         29.       30. 


Aneurism  Needle 
Satterlee's        and  Tenaculum. 

Bone  Fig.       32.      33. 

Forceps. 
Fig.  31. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67    CHATHAM-STREET,    NEW- YORE.  7 

2  Vulcellum  Forceps  (^  $2 $4.00 

1  Pair  Eye  Scissors,  curved  on  the  flat 1  .i50 

1  Pair  heavy  Scissors,  angular  curve 1 .50 

1  Lithotomy  Bistourie 2.00 

1  Wire  Ecraseur 5.00 

1  Pair  Spring-catch  Artery  Forceps,  fenestrated 2.00 

1  Pair  Buck's  Throat  Forceps .  2.50 

1  Pair  Polypus  Forceps 2.25 

1  Pair  Strabismus  Forceps ]  .25 

1  Buck's  Hernia  Director 2.50 

1  Capital  Saw 5.00 

1  Chain  Saw,  best 10.00 

1  Trephine  and  handle 4.00 

1  Metacarpal  Saw,  moveable  back 3.00 

1  Finger  Saw,  narrow  blade 1.50 

3  Lithotomy  Staff's  @  $2 6.00 

3  Steel  Bougies  @  |1 3.00 

1  Syme's  StaflF 2.00 

1  Buck's  Sponge-Holder 1.50 

1  Germ,  silver  Eye  Speculum 0.80 

1  Odema  Glottis  Instrument 1.00 

12  Needles,  Silk,  Wax,  Plastic  Pins   1.00 

2  Coils  silver  Suture  Wire  and  four  coils  iron  Wire 1.00 

3  Silver  Probes  @  38  Cts : . . .  ."/V. , 1.14 

6  Serrefines  @  35  Cts. . . ...:.....'., 1.50 

1  Mahogany  or  Rosewood  Case,  brass  bound,  good  French  lock,  lined  with  silk  velvet, 

neatly  arranged 29.00 

1  Patent-leather  Cover,  water-proof , 5.00 


Amount  $191.39 


BLACKMAN'S    G-ENERAL   OPEKATINQ  SET. 

1  Liston's  long  Knife,  handle  to  unscrew $5.50 

1        "        medium  Knife 4.00 

1  Catling    2.50 

1  Straight  Finger  Knife  ......... 1.25 

1  Capital  Saw 5.00 

1  Aneurism  Needle 1.25 

1  Tenaculum  1.25 

1  Narrow  Finger  Saw    ......      . 1.50 

1  Lead  Mallet       ^ 2.50 

1  Lithotomy  Staff    2.00 

1  Chisel 1.00 

1  Gouge    1.50 

1  Rongeur  with  spring 3.50 

1  Pair  Liston's  Bone  Forceps,  large,  with  spring  4.00 

1  Elevator  and  Raspatory ]  .50 

1  Sequestrum  Forceps 2.50 


P.  A.  Stohlmann.  Edward  Pfarre, 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  34. — Brainard's  Bone  Drills. 


@Si 


Fig.  346.— Tiemann  &  Co.'s  Drill  Stock. 


Fig.  35. — Hamilton's  Improved  Bone  Drills. 


G.TIEWA.\II\l-CO.Ny 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67   CHATHAM-STREET,   NEW-YORK.  9 

1  Lion-Jaw  Bone-holding  Forceps |3.00 

1  Tiemann  &  Co.'s  Bullet  Forceps 2.25 

1  Universal  Forceps,  crossing 2.00 

1  Double  Silver  Trachea  Tube g  00 

1  Lead  Bullet  Probe 0..'50 

2  Scalpels,  with  Ferules  @  $1.25 ". ^ 2.50 

1  Curved  sharp-pointed  Bistourie 1  25 

1  Curved  probe-pointed  Bistourie 1  25 

1  Hernia  Knife 1  35 

2  Blackman's  Retractors 3  00 

18  Needles,  Silk,  Wax,  Plastic  Pins,  Silver  Wire,  Iron  Wire 2.00 

2  Silver  Catheters 4  OO 

1  Grum  Elastic  Catheter , 0  50 

1  Straight  Trocar 2.00 

1  Chain  Saw,  best 10.00 

1  Gait's  Trephine  and  Handle 4  00 

1  Spiral  Tourniquet 2.00 

1  Steel  Director 0.60 

2  Silver  Probes 0.75 

1  Eye-Needle  and  Scoop  on  one  handle 2  50 

1  Pair  Strabismus  Forceps 2,  25 

1  Pair  Dressinpr  Scissors j  25 

1  Pair  Dressing  Forceps 1  50 

1  Wire  Eye  Speculum 0  80 

1  Double-current  Catheter,  silver g  00 

1  Nelaton's  Probe 0  60 

1  Horn  Screw,  to  open  jaw j  25 

1  Pair  Artery  Forceps,  slide  catch 2  50 

1  Rosewood  Case,  brass  bound,  lined  with  oil-dyed  patent  velvet 25.00 

1  Patent  leather  Cover,  water-proof '. ^  4  50 

$13675 


HAMILTON'S    QENERAL   OPERATHsTO  SET. 

1   Long  Catling,  Hip,  16  inches  long „ 5  50 

1   Long  Catling,  Thigh,  13  inches  long , 4  50 

1  Liston's  Knife,  Leg  and  Arm,  13  inches  long 3  50 

1  Broad  French  Bistourie ,   _  o  00 

1  Narrow  French  Bistourie 2  GO 

1  Probe-pointed  Bistourie,  ferule  handle  .  * j  25 

1  Pair  Liston's  Bone  Forceps 3  00 

1  Capita.  Saw „ ^     5  qq 

1  Narrow  Metacarpal  Saw 1  50 

1  Tenaculum     ^ -^  25 

1  Pair  slide-catch  Artery  Forceps,  Tortion , ._ 2.50 

1  Pair  spring-catch  Artery  Forceps,  fenestrated 2.00 

1  Pair  Dressing  Scissors,  straight 1  25 

F,  A.  Stohlmann.  Edward  Pfarre. 


10 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 


Fig,  39. — Ferguson's  Liou-Jaw  Boue  Holding  Forceps. 


Fig.  39b. — Ferguson's  Sequestrum  Forceps. 


Fig.  40. — Hamilton's  Sequestrum  Forceps. 


TIEMANN  &■  CO 

Fig.  41. — Liston's  Bone  Forceps,  straight. 


Fig.  42. — Liston's  Bone  Forceps,  curved  on  tlie  flat 


Fig.  43. — Liston's  Bone  Forceps,  knee  curve. 


Fig.  4Rh. — Hamilton's  Serrated  Bone  Cutter. 


M 


w 


w 


1-3 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  I. 

67  CHATHAM-STREET,  NEW-YORK,  11 

1  Pair  strong  Harelip  Scissors $1.50 

1  Pair  Dressing  Forceps 1.50 

1  Pair  Tiemann  &  Co.'    Bullet  Forceps 2.25 

1  U.  S.  A.  BuUet  Forceps  2.00 

1  German  silver  or  whalebone  Bullet  Probe 0.75 

6  Serrefine's,  @  25  Cts 1.50 

12  Needles,  Silk,  Wax,  Plastic  Pins 1.00 

1  Spiral  Tourniquet 2.00 

1  Field  Tourniquet 1.00 

1  Long  Director  and  Ear  Spoon  . . O.GO 

1  Conical  Trephine"] 

1  Bone  Trephine      I 8.00 

1  Trephine  Handle  J 

1  Trepanning  Elevator  with  Raspatory 1.50 

1  Key's  Saw 175 

1  Tirefond 1.75 

1  Hard-rubber  Dental  Syringe 1.00 

1  Set  Mott's  Aneurism  Needles 2.75 

1  Pair  plain  Artery  Forceps      0.75 

1  Pair  Mott's  Retractors ; 1.50 

1  Pair  long  Cotton  Forceps  (bird  stuffing)       1.50 

3  Acupressure  Needles,  @  25  Cts 0.75 

1  Metal  Bougie 0.7o 

2  Silver  Catheters 4.00 

1  Mahogany  Case,  brass  bound,  lined  with  oil-dyed  patent  velvet 22.00 

1  Patent  leather  Cover,  water-proof 4.5O 


5101.85 


POST'S   G-ENERAL  OPERATIHG-  SET. 

1  Granger's  Sponge-Holder,  gilt 02-50 

1  Pair  Dressing  Forceps    -^  rQ 

1  Pair  Polypus  Forceps 2  25 

1  Pair  Strabismus  Scissors j  ^q 

1  Pair  Strabismus  Forceps 2  o- 

1  Set  Mott's  Aneurism  Needles     ;  . . . ; 9  r-r- 

1  Pair  Angular  Scissors,  heavy j  -q 

1  Kramer's  Ear  Speculum,  best  steel  and  German  silver  3  qq 

1  Pair  Liston's  Bone  Forceps,  larger  than  usual .. , . . ....  4  qO 

1  Silver  Female  Catheter. ; -^qq 

1  Metacarpal  Saw , -^^q 

6  English  Gnm  Elastic  Catheters    2  50 

1  Medium-sized  Trocar  and  Canula ; 2  00 

1  Probang,  with  Silver  Bucket    g  -q 

1  Nelaton's  Probe ■ q  gQ 

1  Pair  Cilia  Forcep? ^  05 

P.  A.  Stohlmann.  Edward  Pfarre. 


12 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  46. — Hoffman's  Gouge  Forceps. 


Fig.  51. — Pley's  Saw. 


T/CMAMfJ-CO 

Fig.  50. — Pope's  Antrum  Drill. 

T/£MANN.CO 
Fig.  52.— Key's  Saw. 

Fig.  53cf. — Lewis'  Folding  Saw. 


WMk. 
wm 


Fig.  53J.    Farabeuf  s  Osteophor. 


Fig.  53c. — Hamilton's  Osteophor. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67   CHATHAM-STREET,    NEW- YORK.  13 

1  Sharp-pointed  curved  Bistourie,  with  ferule $1.25 

1  Finger  Bistourie  1-25 

3  Scalpels,  assorted  sizes,  @  $1.25 3.75 

1  lenaculum  1-25 

1  Trepanning  Scalpel  and  Raspatory 1 .75 

1  Long  Amputating  Knife 4.50 

1  Blunt  Hook 1.25 

2  Coils  Silver  Wire  and  Silk  1.20 

1  Metal  Bullet  Probe 0.50 

1  Uvula  Scissors,  with  claws    6.00 

1  Gait's  Trephine  ^ 

1  Bone  Trephine     I     8.00 

1  Trephine  Handle  J 

1  Ebony  Gorgeret 1.50 

1  Pair  Coxeter's  Forceps 1.00 

1  Pair  Dressing  Scissors 1.25 

1  Trepanning  Elevator 1.25 

1  Pair  spring-catch  Artery  Forceps,  plain 1 .50 

1  Rongeur 3.50 

1  Double  Trachea  Tube,  silver 6.00 

1  Pair  Entropium  Forceps 2.50 

1  Silver  Catheter,  No.  9 2.25 

1  Hey's  Saw 1.75 

1  Pair  Mott's  Retractors 1.50 

1  Japanned  Tongue  Depressor 1.25 

1  Rectum  Trocar 3.00 

1  Pair  Sequestrum  Forceps,  toe-nail 2.50 

1  Wire  Eye  Speculum 0.80 

1  Tiemann  &  Co.'s  Bullet  Forceps 2.25 

1  Lachrymal  Needle 1.25 

1  Tenotome 1.25 

1  Probe-pointed  Bistourie 1.25 

1  Straight  and  1  curved  Eye  Needle,  @  $1.25    - 250 

1  Beer's  Cataract  Knife 150 

1  Medium-size  Amputating  Knife 3.50 

12  Suture  Needles,  Silk,  Wax,  PLiStic  Pins  1  00 

2  Silver  Probes 0.75 

1  Director 0.60 

1  Pair  Vulcellum  Forceps 2.25 

1  Rosewood  brass-bound  Case,  lined  with  silk  velvet 29.00 

1  Patent  leather  Cover,  water-proof 500 

1  Capital  Saw 5  00 


Amount  $150  91 


"WOOD'S   aENEKAL   OPERATINa   SET. 

1  Pair  Silver  Probes $0.75 

2  Steel  Sounds,  @  $1 2.00 

1  Long  Amputating  Knife 4.50 

F.  A.  Stohlmann.  Edward  Pfarre. 


14 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  54. — Szymanowski's  Bone  Exsecting  Saw,  improved  by  Tiemanu  &  Co. 


Fig.  57.— Tiemann  &  Co.'s 
Fig.  55. — Chain  Saw.  Fig.  56. — Chain  Saw  Carrier.  Circular  Saw. 


Fig.  60. — Lente's  Interosseous  Saw. 


S     i 


Fig.  61. — Bone  Drill  for  Un-united  and  Oblique  Fractures. 

d 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I 

67   CHATHAM-STREET,  NEW-YORK.  lb 

1  Circular  Knife • ^^-^'^ 

.  ^  ,,.                                                                                  2.50 

1  Catling 

1  Trepanning  Scalpel  with  Raspatory ^ •""'' 

1  Spiral  Tourniquet ^•*^'-' 

12  Needles,  Silk,  Wax,  Plastic  Pins  • ^■^^_ 

1  Trepanning  Brush ^-^'^ 

1  Metacarpal  Saw 1-^^ 

1  Tiemann  &  Co.'s  BuUet  Forceps 2.25 

1  Pair  straight  Dressing  Scissors 1-25 

1  Pair  curved  Eye  Scissors  • ^-^^ 

1  Key's  Saw ^•'^[' 

1  Silver-plated  Catheter ^-^'^ 

1  Gum-elastic  Catheter ^-^^ 

2  Gum-elastic  Bougies ^  -^^ 

1  Capital  Saw  • 5-00 

1  Pair  Liston's  Bone  Forceps ^-^'^ 

1  Trephine  and  Handle,  Gait's 4.00 

1  Pair  spring-catch  Artery  Forceps,  plain 1-50 

1  Trepanning  Elevator 1-25 

1  Director,  steel f*-60 

1  Beer's  Cataract  Knife 1-50 

1  Curved  sharp-pointed  Bistourie 1*^0 

1  Curved  probe-pointed  Bistourie ^  -^^ 

2  Scalpels,  @  75  Cts l-^^ 

1  Plain  Aneurism  Needle *^'*^*^ 

1  Tenaculum ^-"^^ 

1  Strabismus  Blunt  Hook •  ^-^^ 

1  Straight  Eye  Needle 1-25 

1  Curved  Eye  Needle ^-^ 

1   Curved  Eye  Forceps,  Strabismus    ^ •  •    •  •  ^-^^ 

1  Rosewood,  brass  bound  Case,  lined  with  oil-dyed  patent  velvet 18.00 

.Amount  $7455 


PARKER'S   G-ENERAL   OPERATING   SET. 

1  Liston's  Amputating  Knife,  screw  handle $5.50 

1  Liston's  Amputating  Knife,  medium  size • 3.53 

1  Small  Catling 2.03 

1  Capital  Saw 5.00 

1  Metacarpal  Saw •  •  ■  1  50 

1  German  silver  Wire  Eye  Speculum 0.83 

1  Hey's  Saw 1-5 

3  Trepanning  Elevator  and  Raspatory •  -  ■ ^•^^' 

1  Gait's  Trephine  and  Handle 4.00 

1  Fino-er  Knife 1-25 

1  Curved  probe-pointed  Bistourie 1-^5 

1  Curved  sharp-pointed  Bistourie 1  25 

F.  A.  Stohlmann.  Edward  Pfarre. 


16 


Pakt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  62. — Prince's  Retractor. 


The  Plaited  Satin  Sewing  Silk.  The  Ordinary  Twisted  Silk. 

Sature  Needles,  page  63. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  1. 

67  CHATHAM-STREET,  NEW-YORK.  17 

1  Cooper's  Hernia  Knife $  t  .25 

3  Scalpels,  assorted,  @  $1.35 ,3.7o 

1  Cataract  Knife 1.50 

1  Parker's  Lachrymal  Needle l.oO 

1  Exploring  Trocar 1.50 

1  Director,  steel O.GO 

1  Pair  Probes,  silver 0.75 

1  Tiemanu  &  Co.'s  Bullet  Forceps 2.25 

1  Tenotome 1.25 

1  Pair  Parker's  Retractors ]  .50 

12  Needles,  Silk,  Silver  "Wire,  Plastic  Pins 1.50 

1  Small  Trocar,  straight 2.00 

1  Rectum  Trocar,  curved 3.00 

1  Pair  Artery  Forceps,  plain 0.75 

1  Pair  Polypus  Forceps 2.25 

1  Steel  Sound 1.00 

2  Lithotomy  Staffs,  @  $3.00 4.00 

1  Lithotomy  Bistourie 2.00 

1  Pair  Lithotomy  Forceps 2.50 

1  Pair  Liston's  Bone  Forceps  3.00 

1  Pair  Eye  Scissors,  curved  on  the  flat 1.50 

3  Silver  Catheters,  @  $3 4.00 

1  Spiral  Tourniquet 2.00 

1  Eye  Needle,  curved 1.25 

1  Set  Parker's  Aneurism  Needles  2.75 

1  Pair  Strabismus  Forceps 1.25 

1  Pair  Artery  Forceps,  spring-catch,  plain     1.50 

1  Rosewood  Case,  brass  bound,  lined  with  silk  velvet 20.00 

1  Patent-leather  Cover,  water-proof 3.50 


Amount  $104.90 


MARKOE'S    G-ENERAL   OPERATING-  SET. 

1  Liston's  Knife,  long |4  50 

1  Liston's  Knife,  medium 3  50 

1  French  Finger  Knife,  long 2.00 

1  Straight  Bistourie,  sharp-pointed 1.00 

1  Curved  Bistourie,  sharp-pointed 1  00 

1  Curved  Bistourie,  probe-pointed l.OO 

1  Cooper's  Hernia  Knife l.OO 

3  Scalpels,  assorted,  @  75  cts 150 

1  Tenotome 1.00 

1  Tenaculum    0.75 

1  Aneurism  Needle 0.70 

13  Needles,  Silk,  "Wax,  Plastic  Pins 1  00 

1  Tourniquet 2.00 

1  Chisel r ]  PO 


r.  A.  Stohlmann.  Edward  Pfarre. 


18 


Part  T. 
GEO.  TIEMANN  &  CO.S  SURGICAL  INSTRUMENTS, 


Fig.  G5.— Maxilla3  Saw. 


OSTEOTOMY. 


Fig.  67.— Maxilla3  Saw. 
(left.) 


Fig.  66.— V.  Graefe's  Circular  Saw. 


Fig.  68. — Costotome  or  Rita  Shears. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67  CHATHAM-STREET,    NEW-YOIIK.  I9 

1  Metacarpal  Saw    $1.50 

1  Hey's  Saw 1,75 

1  Trepanning  Elevator  and  Raspatory 1.50 

1  Pair  Artery  Forceps,  plain 0.75 

1  Pair  Artery  Forceps,  spring-catch,  fenestrated 2.00 

1  Pair  Vulcellum  Forceps,  long 3.5O 

1  Pair  Toenail  Forceps     2.50 

1  Capital  Saw 5.OO 

1  Gait's  Trephine  and  Handle , 4.QO 

1  Pair  Parker's  Retractors 1 .50 

1  Pair  Liston's  Bone  Forceps 3.OO 

1  Gouge 1.50 

1  Silver  Catheter,  male 2.00 

1  Steel  Sound     1.00 

1  Rosewood  Case,  lined  with  oil-dyed  patent  velvet 15.00 

Amount  $67.45 


CONA^T'S 
AMPUTATING-  AND   MINOR  OPERATING-  SET. 

1.  Amputating  Knife,  long  1 
1  Amputating  Knife,  small  I 

1  Amputating  Saw,  small    |   |i3.00 

1  Handle,  to  fit  the  above  J 

1  Double  Hook  j  gO 

1  Bistourie,  probe-pointed 1  25 

1  Hernia  Knife 1  25 

1  Bistourie,  sharp-pointed 1_25 

2  Scalpels,  assorted,  @  $1.25 2.50 

1  Tenotome 1  25 

2  Parker's  Retractors j  50 

1  Director,  steel 0  60 

1  Nelaton's  Bullet  Probe 0  60 

1  Caustic  Holder  I  00 

1  Pair  Scissors,  straight j  25 

1  Pair  Scissors,  curved  on  the  flat 1  50 

1  Pair  Tiemann  &  Co.'s  Bullet  Forceps 2.25 

1  Pair  Polypus  Forceps,  curved,  small 2.00 

1  Pair  Satterlec's  Bone  Forceps,  small 2.50 

1  Compound  Catheter,  male  and  female,  German  silver 200 

2  Silver  Probes 0.75 

12  Needles,  Silk,  Wax,  Plastic  Pins  1  00 

1  Pair  Artery  Forceps,  spring-catch,  fenestrated 2.00 

1  Tourniquet 2  00 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 12.00 


Amount  $53.95 


F.  A.  Stohlmana.  Edward  Pfbrrft. 


20 


Part  I. 
GEO.  TIEMAXN  ct  CO.S  SURGICAL  INSTRUMENTS, 


Fig.  72. 
Brace  Trepan  and  guarded  Crown. 


Figs.  70,  71. 

Goodwillie's  Pereosteum 
Levators. 


Fig.  73. 
Mott's  Retractor. 


Fig.  74. 
Blackman's  Retractor. 


Fig.  76. 
Parker's  Retractor. 


Fig.  75. 
Hand  Trepan  for  guarded  Trephines. 


F,  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67   CHATHAM-STREET,   NEW^YORK.  ^1 

CALIFORlSriA   GENERAL   OPERATING-   SET. 

1  Capital  Saw $0.00 

1  Amputating  Knife,  long   4  50 

1  Amputating  Knife,  medium o  50 

1  Small  Catling 2  00 

1  Scalpel . 0.75 

1  Elevator  and  Raspatory 1  5q 

1  Pair  Artery  Forceps,  spring-catch,  plain    150 

1  Pair  Artery  Forceps,  slide-catch,  bulbous  points I.50 

1  Tourniquet 2.00 

1  Trocar,  straight 2.00 

1  Tongue  Depressor,  japanned 1  25 

1  Pair  Liston's  Bone  Forceps,  g.  st 2.50 

1  Gait's  Trephine  and  Handle , 4  Oo 

1  Steel  Director 0.60 

1  Straight  Bistourie 1  00 

1  Curved  Bistourie,  probe-pointed j  00 

1  Curved  Bistourie,  sharp-pointed  1  00 

3  Scalpels,  assorted  sizes,  @  75  cts 2.25 

1  Tenotomy  Knife 1  00 

1  Aneurism  Needle 0.70 

1  Pair  Polypus  Forceps 2.25 

1  Hey's  Saw 1  75 

1  Metacarpal  Saw    1  50 

1  Pair  Dissecting  Scissors , 0.75 

1  Double  Hook ]  50 

1  Green's  Tonsil  Bistourie 2  50 

12  Needles,  Silk,  Wax,  Plastic  Pins 1  00 

1  Probang 0.50 

1  Catheter,  German  silver,  plated „ 1  25 

1  Metal  Bougie  0  50 

1  Pair  Tiemann  &  Co.'s  Bullet  Forceps 2.25 

1  Mahogany  Case,  lined  with,  oil-dyed  velvet . „ ,...  o. , 15  00 


Amount  $69.30 


DETMOLD'S  GENERAL  OPERATING  SET. 

1  Finger  Saw,  narrow  blade '^l  'iO 

1  Tiemann  &  Co.'s  Bullet  Forceps 00^ 

1  Pair  Polypus  Forceps 2ok 

1  Steel  Director „  „„ 

U.dU 

1  Elevator  and  Raspatory,  or  Lenticular  Knife -,  Kr. 

2  Probes,  silver ^  _^ 

,    ,                                                                                      • 0.7o 

1  Acupressure  Needle      ^  ,-,- 

1  Trepanning  Brush ^^~ 

1  Bullet  Probe,  lead    ^  j.» 


P.  A.  Stohlmann.  Edward  Pfarre. 


2^ 


p 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  77. — Ferguson's  Lion-jaw  Bone-Lolding  Forceps. 


Fig.  78. — Heme's  Saw. 


F.  Ao  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67   CHATHAM-STREET,   NEW-YORK.  23 

1  Capital  Saw  .... $5.00 

1  Pair  Dressing  Scissors 1.2fi 

1  Small  Hone 0.75 

1  Long  Amputating  Knife,  handle  to  unscrew 5.50 

1  Pair  Parker's  Retractors 1.50 

1  Gait's  Trephine  and  Handle 4.00 

1  Pair  Listen's  Bone  Forceps 3.00 

1  Pair  Artery  Forceps,  spring-catch,  fenestrated 2.00 

2  Serrefines,  steel,  plated 1.00 

2  Catheters,  silver,  Nos.  5,  9,  @  $2 4.00 

1  Bullet  Probe,  whalebone 0.50 

1  Catling,  long - 3.50 

1  Catling,  small 2.00 

1  Trepanning  Scalpel 1 .75 

1  Finger  Knife,  sharp-pointed ]  .00 

1  Curved  Bistourie,  sharp-pointed 1.00 

1  Curved  Bistourie,  probe-pointed ]  .00 

1  Hernia  Knife  1.00 

3  Scalpels,  assorted,  @  75  cts 2.25 

1  Tenotome  1.00 

1  Tenaculum 0  75 

1  Aneurism  Needle. 0.70 

1  Tourniquet 2.C0 

12  Needles,  Silk,  Wax,  Plastic  Pins 1.00 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 14.00 

1  Patent  leather  Cover,  water-proof 3.50 

f74  80 


MOTT'S   G-ENERAL  OPERATIK"G-   SET. 

1  Mott's  Knife,  large $5.00 

1  Mott's  Knife,  medium 4  00 

1  Small  Catling 2  00 

1  Capital  Saw 5.00 

1  Metacarpal  Saw 1.50 

1  Tourniquet 2.00 

1  Tenaculum 1.25 

1  Pair  Artery  Forceps,  plain 0.75 

1  Pair  Artery  Forceps,  spring-catch,  plain 1.50 

1  Tiemann  &  Co.'s  Bullet  Forceps 2.25 

1  Listen's  Bone  Forceps,  best 8.00 

12  Needles,  Silk,  Wax,  Plastic  Pins 1.00 

1  Gait's  Trephine  and  Handle 4.00 

1  Trepanning  Elevator  and  Raspatory 1.50 

1  Tenotome       1.25 

1  Curved  Bistourie,  sharp-]^ointed 1-25 

1  Curved  Bistourie,  probe-pointed • 1 .25 

1  Steel  Director 0.60 

P.  A.  Stohlmann.  Edward  Pfarre. 


24 


Part  I, 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOTOMY. 

Fig.  79. — Darby's  Rongeur  and  Bono  Holder. 


'///■.<''<W^«««^. 


Fig.  80. — Rongeur  or  Bone-gnawing  Forceps. 


Fig.  83.— Lead  Mallet. 


Fig.  84.— Gouge. 


mm 


G.TIEMANN  &  CO 

Fig.  85. — Curved  Hand  Gouge. 


Fig.  86.— Chisel. 


G.  TIEMANN  &  CO 


Fig.  86c. — Darby's  Set  of  Gouges,  Levators  and  Chisels,    i 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  I. 

67   CHATHAM-STREET,    NEW-YORK.  25 

2  Silver  Probes $0.75 

1  Pair  Polypus  Forceps 2. 2.0 

1  Pair  Scissors,  straight 1,25 

1  Pair  Scissors,  angular  curve 1.50 

2  Mott's  Retractors 1.50 

1  Finger  Knife  ]  .25 

3  Scalpels,  @  $1.25 3.75 

1  Double  Hook 1.75 

1  Hey's  Saw 1.75 

1  Trocar  and  Canula 2.00 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 1  n.dO 

Amount  $72.85 


SEYMOUR'S    G-ENERAL   OPERATINQ  SET. 

1  Pair  Tiemann  »&  Co.'s  Bullet  Forceps $2.25 

1  Pair  Polypus  Foi'ceps 2.25 

1  Trepanning  Elevator  and  Raspatory 1.50 

1  Exploring  Trocar , 1.50 

1  Pair  Artery  Forceps,  plain 0.75 

1  Steel  Director 0  60  • 

1  Metacarpal  Saw o 1.50 

1  Bow  Saw,  2  blades 8.00 

1  Hey's  Saw ]  .75 

1  Trepanning  Brush 0.25 

2  Blackman's  Retractors 3.00 

1  Double  Trachea  Tube,  silver 6.00 

3  Skains  Silk,  Iron  Wire   0.50 

6  Double  Bougies,  s.  s  ,  ISTos.  1  to  12,  nickel-plated 7.50 

3  Silver  Catheters,  Nos.  8,  6,  9 .- 6.00 

3  Gum  Elastic  Catheters,  best  English,  @  50  cts 1.50 

1  Lithotomy  Staff    2.00 

1  Pair  Harelip  Scissors,  straight,  heavy 1.50 

1  Pair  Scissors,  curved  on  the  flat l.RO 

1  Set  Mott's  Artery  Needles 2.75 

4  Serrefines,  @  25  cts 1 .00 

2  Coils  Silver  Wire,  Plastic  Pins .........  1.00 

1  Liston's  Knife,  long        "1 

1  Long  Catling                    I _ 10.00 

1  Screv,r  Handle,  for  both  J 

1  Liston's  Knife,  medium  ... 3.50 

1  Catling,  narrow 3.00 

1  Finger  Knife,  long,  narrow 2.00 

1  Cartilage  Knife,  heavy,  ebony  handle ]  .75 

1  Tenaculum   ,      _  -^25 

1  Pair  Artery  Forceps 2.00 

1  Pair  Artery  Forceps,  self-closing,  bull  dog 1.50 

1  Chain  Saw,  best  10.00 

P.  A.  Stohlmann.  Edward  Pfarre. 


26 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ARTERIAL. 

Fig.  87. — Speir's  Artery  Constrictor. 


Fig.  88. — Prince's  Tenaculum  Forceps. 


Fig.  89.— Steam's  Artery  Claws  and  Forceps.     1,  2,  3. 


F,  A..  Stohlmann. 


n  if 

Edward  Pfarre. 


Pabt  I. 

67   CHATHAM-STREET,   NEW- YORK.  27 

2  Silver  Probes ' $0.75 

1  Bullet  Probe,  lead , O.oU 

1  Bullet  Probe,  whalebone 0.50 

1  Nekton's  Bullet  Probe 0.60 

3  Scalpels,  assorted  @  $1.25 , 3.75 

1  Curved  Bistourie,  sharp-pointed    1.25 

1  Curved  Bistourie,  i:)robe-pointed 1.25 

1  Hernia  Knife 1.25 

i  Spud  and  Gouge,  for  removing  foreign  bodies  from  the  eye. 2.50 

1  Pair  Gullet  Forceps «    , . . , .  o „ . , 2.50 

1  Gait's  Trephine  ^ 

1  Bone  Trephine     }  , 8.00 

1  Trephine  Handle  J 

1  Trocar  and  Canula,  straight „ » . , 2.00 

1  Rectum  Trocar  and  Canula 3.00 

1  Lead  Mallet ,.., 2.50 

1  Chisel o 1  00 

1  Gouge 1.50 

1  Set  Brainard's  Bone  Drills 350 

2  Ear  Specula,  porcelain,  @  50  cts 1  qq 

1  Pair  Liston's  Bone  Forceps,  with  spring,  extra  large 5.00 

1  Pair  Sequestrum  Forceps,  with  spring , 2  50 

1  Rongeur,  with  spring 3  50 

1  Pair  Satterlee's  Bone  Forceps,  small 2.50 

1  Tourniquet 2.00 

1  Horn  Jaw  Screw 1.25 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 28.00 

1  Patent  leather  Cover,  water-proof 5.OO 


Amount  $176.70 


U.   S.   A.   CAPITAL   OPERATING=    SET» 

1  Amputating  Knife,  long. .....,,,•  $4.50 

1  Amputating  Knife,  medium 3.50 

]  Catling,  long _  4  50 

1  Catling,  small 2  00 

1  Cartilage  Knife,  heavy,  ebony  handle 1  75 

1  Bow  Saw,  two  blades g  00 

1  Metacarpal  Saw j^  50 

1  Chain  Saw,  best 10  00 

1  Hey's  Saw 1^.5 

1  Gait's  Trephine    "j 

1  Crown  Trephine  y c  Oo 

1  Trephine  Handle  J 

1  Pair  Liston's  Bone  Forceps,  with  spring 4  50 

1  Pair  Liston's  Bone  Forceps,  slightly  curved ,  4  50 

1  Pair  Gouge  Forceps  or  Rongeur 3  50 

1  Pair  Sequestrum  Forceps o  50 

P.  A.  Stohlmann.  Edward  Pfarre. 


28 


Part  I. 
GEO.  TIEMANN  &  CO.'s'sFrGICAL  INSTRUMENTS, 


AETEEIAL. 

Fig.  92.— Carroll's  Knot  Tyer. 


Fig.  936. — Post's  Ligature  and  Chain-Saw  Carrier 


Fig.  96. 
Ligature  and  Rup- 
tured Peiineum 
Needle. 


Fig.  95. — Helical  Needle  for  Sutures  and  Ligatures. 


Fig.  98. — Student's  Aneurism -Needle 


G.  TIEMANN   &.    CC. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67    CHATHAM-STREET,    NEW-YORK.  29 

1  Pair  Artery  Forceps,  plain $0.75 

1  Set  Mott's  Aneurism  Needles ' 2.75 

13  Surgeon's  Needles ]  .00 

1  Tourniquet 2.00 

1  Tenaculum 0  75 

1  Pair  Scissors,  straight,  heavy 1.50 

1  Chisel  and  1  Gouge 2.50 

1  Lead  Mallet 2.50 

1  Set  Brainard's  Bone  Drills ;150 

1  Pair  Mott's  Retractors 1 .50 

1  Elevator  and  Raspatory ]  .,50 

1  Brush,  13  yards  Iron  Wire,  Silk,  Plastic  Pins    0.75 

1  Mahogany  Case,  lined  with  oil-dyed  velvet  or  chamois 16.50 

1  Leather  Pouch 4.50 

1103.50 


U.  S.  A.  STAFF  SUKG-EOlSrS'  CAPITAL  OPEKATING- 

SET. 

Amputating  Knife,  long |4.o0 

Amputating  Knife,  medium 3  50 

Catling,  long 4  50 

Catling,  small 2.50 

Cartilage  Knife,  heavy,  ebony  handle 1.75 

Straight  Bistourie ]  50 

Scalpels,  @  $1.50 4  50 

Bow  Saw,  two  blades 8.00 

Chain  Saw,  best 1 0.00 

Metacarpal  Saw,  lifting  back 3  50 

Hey's  Saw ]  75 

Trephines  and  Handle : §  00 

Razor 1  50 

Raspatory,  ebony  handle 1  50 

Elevator,  strong ]  50 

Brush 0.50 

Pair  Liston's  Bone  Forceps,  9  inches  long 5.00 

Rongeur,  curved,  with  spring 3  50 

Rongeur,  straight,  with  spring 3  50 

Pair  Sequestrum  Forceps 3  00 

Pair  Lithotomy  Forceps 2.50 

Pair  Liston's  Artery  Forceps,  slide-catch 3  00 

Set  Mott's  Artery  Needles 2.75 

Surgeons'  and  six  Wire  Needles 1  35 

Tourniquet 2.00 

Tenaculum ,   125 

Pair  Scissors 1 .25 

Chisel  and  one  Gouge,  ebony  handles,  @  $3 4.OO 

Trocar  and  Canula,  straight 2.00 

Set  Brainard's  Bone  Drills 3  50 


P.  A.  Stohlmann.  Edward  Pfarre. 


30 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ARTERIAL. 

Fig.  99. — Nolt's  Artery  Clamp  Forceps, 


Fig.  102. 

Milne's   Artery 

Compression  Forceps. 


G.    TIEMANN   &   CO.,    N.    Y. 


Fig.  int.— Hamilton's  spring-catch  Artery  Forceps,  fenestrated. 


Fig.  1026.— Phelps'  Artery  and  Torsion  Forceps. 


Fig.  103. — Spring-catch  fenestrated  Artery  Forceps. 


Fig.  1035. — Serrefin,  straight. 
e. — Serrefin,  angular. 
d. — Langenbeck's  Serrefin. 
b.  c.  d. 


(Part  III.    Fig.  15G.)— Gross  Artery  Compressor. 


See  also  page  44. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67    CHATHAM-STREET,  NEW-YORK.  31 

1  Pair  Mott's  Retractors $1.50 

12  Yards  Silver  Wire,  @  50  cts g.OO 

1  Mahogany  Case,  lined  with  red  chamois 25.00 

1  Leather  Pouch,  heavy 7.O0 

Amount  $]'-',7.1() 


BONE  EXSECTING-  SET. 

1  Chain  Saw,  best $10.00 

2  Chisels,  different  sizes,  @  $  1 2.00 

2  Gouges,  different  sizes,  @  $1.50 „ 3  qO 

]  Curved  Rongeur  or  Gouge  Forceps,  with  spring , 350 

1  Pair  Listons'  Bone  Forceps,  large 4  5q 

1  Set  Brainards'  Bone  Drills 3  50 

1  Bone  Trephine  and  Handle 4  qq 

1  Elevator  and  Raspatory j  50 

1  Pair  Sequestrum  Forceps 2.50 

1  Pair  Mott's  Retractors j^  50 

3  Coils  Silver  Wire ^  50 

6  Wire  Needles,  Silk,  Iron  Wire 0.60 

1  Pair  Bone  Forceps,  angular 5  Oo 

1  Pair  Ferguson's  Lion-Jaw  Bone-holding  Forceps 3  00 

1  Lead  Mallet 2  50 

1  Metacarpal  and  Interosseous  Saw,  narrow I  50 

1  Pope's  Antrum  Drill 3  50 

1  Mahogany  Case,  lined  with  oil-dyed  velvet 12  00 

Amount  $65.60 


PARKER'S   COMPACT   OPERATING  SET. 

.  1  Long  Amputating  Knife  ^ 

1  Medium  Amputating  Knife        [ 

1  Small  Amputating  Knife  j    $10.50 

1  Screw-Handle,  to  fit  the  above  J 

1  Finger  Knife  ,    2  00 

1  Curved  probe-pointed  Bistourie j  05 

3  Scalpels,  @  $1.25 _  2.50 

1  Aneurism  Needle 1  25 

1  Tenaculum 2  25 

1  Gait's  Trephine  and  Handle 4  OO 

1  Field  Tourniquet , 2  00 

1  Metacarpal  Saw 2  gO 

1  Tiemann  &  Co.'s  Bullet  Forceps 3  25 

1  Trepanning  Elevator  and  Raspatory j  50 

1  Pair  Dressing  Forceps 2  go 

1  Pair  straight  Scissors 2  .>5 

P.  A.  Stohlmann.  Edward  Pfarre. 


32 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


AETEEIAL. 

Fig.  104.— Petit's  Spiral  Touruiquet.  Fig.  104^*. — Cliarriere's  Tourniquet. 


Fig    105. 

Prussian.  U.  S.  A. 

Field  Tourniquets. 


Fig.  106. 
Valentine  Mott's  Tourniquet. 


Fig.  106&. — Gross'  Tourniquet. 


Fig.  107. — Field  Tourniquet. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 

67  CHATHAM-STREET,  NEW-YORK.  33 

1  Pair  epring-catch  Artery  Forceps $1 .50 

IHey'sSaw...               1.75 

1  Pair  Liston's  Bone  Forceps 3.00 

1  Capital  Saw  5.00 

1  Steel  Director 0.60 

2  Silver  Probes 0.75 

12  Needles,  Silk,  Wax  and  Plastic  Pins 1.00 

1  Whalebone  Bullet  Probe 0.50 

1  Rosewood  Case,  lined  with  oil-dyed  velvet ...  16. 00 

Amount  $61.85 


"No.    1.   MINOR  OPERATINQ   SET. 

1  Straight  Finger  Knife $1.00 

1  Curved  probe-pointed  Bistourie 1.00 

1  Curved  sharp-pointed  Bistourie 1 .00 

1  Cooper's  Hernia  Knife 1.00 

3  Scalpels,  assorted,  @  75  cts 2.25 

1  Tenotome 1.00 

1  Aneurism  Needle 0.70 

1  Tenaculum 0.75 

6  Needles,  Silk,  Iron  Wire  and  Plastic  Pins 0.75 

1  Pair  straight  Scissors 1 .25 

1  Pair  Dressing  Forceps 1.50 

1  Pair  plain  Artery  Forceps .  0.75 

1  Steel  Director 0.60 

1  Rosewood  Case,  lined  with  oil-dyed  velvet  4.50 

Amount  $18.05 


No.   2.   MINOR  OPERATING   SET. 

1  Straight  Finger  Knife $1.00 

1  Curved  probe-pointed  Bistourie 1  00 

1  Curved  sharp-pointed  Bistourie 1.00 

1  Cooper's  Hernia  Knife 1.00 

3  Scalpels,  assorted,  @  75  cts 2.25 

1  Tenotome 1.00 

1  Aneurism  Needle  0.70 

1  Tenaculum 0.75 

6  Needles,  Silk,  Iron  Wire  and  Plastic  Pins 0.75 

1  Pair  straight  Scissors j  25 

1  Pair  Dressing  Forceps    1  50 

1  Pair  plain  Artery  Forceps 0  75 

1  Steel  Director 0  60 

P.  A.  Stohlraann.  Edward  Pftirre. 


34 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ARTEEIAL. 

Fig.  108. — Ericlisoii's  Arterial  Compressor. 


Fig.  110. — Skey's  Arterial  Compressor. 


Fig.  111. — Esmarch's  Bandage  Clamp. 


Fig.  1115. — Langenbeck's  Bandage  Clamps. 
For  Esmarch's  Bloodless  Method. 


Esmarch's  Tourniquet,  see  Fig.  184,  Part  TV. 

F.  A.  Stohlmann.  Edward  Pfarre. 


Part  I. 

67   CHATHAM-STREET,   NEW- YORK.  35 

1  Compound  Catheter,  male  and  female,  plated $2.00 

1  Pair  Spring-catch  Artery  Forceps,  fenestrated     2.00 

2  Silver  Probes    0.7o 

1  Hard-rubber  Caustic  Holder 1.00 

1  Rosewood  Case,  lined  with  oil-dyed  velvet    5.75 

Amount  $25.0.5 


No.  3.     ElSrOS'   MIlSrOR  OPERATING   SET. 

1  Double  Hook         $1.75 

1  Curved  sharp-pointed  Bistourie 1  25 

1  Curved  probe-pointed  Bistourie • 1.25 

1  Cooper's  Hernia  Knife 1.25 

4  Scalpels,  assorted,  @  S1.25 5.00  ' 

1  Pair  small  Polypus  Forceps 1-50 

1  Tenotome 1.25 

1  Tenaculum , 1.25 

1  Aneurism  Needle 1.25 

1  Narrow  Metacarpal  Saw , » < . . .    1.50 

1  Pair  plain  Artery  Forceps 0.75 

1  Small  Trocar 2.00 

1  Pair  angular-curved  Scissors 1.50 

1  Pair  slide-catch  Artery  Forceps 2.50 

6  Needles,  Silk,  Iron  and  Silver  Wire 1.25 

1  Steel  Director 0.60 

2  Silver  Probes 0.75 

1  Rosewood  Case,  lined  with  oil-dyed  velvet 6.50 

Amount  $33.10 


No.   4.    EVES'   MINOR  OPERATING  SET. 

1  Double  Hook $2.00 

1  Curved  sharp-pointed  Bistourie 1.35 

1  Curved  probe-pointed  Bistourie , 1.25 

1  Cooper'c  Hernia  Knife    1  25 

4  Scalpels,  assorted,  @  $  1 .25 5.00 

1  Tenotome 1.25 

1  Tenaculum   1.25 

1  Aneurism  Needle 1.25 

1  Narrow  Metacarpal  Saw 1.50 

1  Pair  plain  Artery  Forceps 0.75 

1  Small  Trocar 2.00 

1  Pair  angular  Scissors 1  50 

1  Pair  Polypus  Forceps 2.00 

F.  A.  Stohlmann.  Edward  Pfarre. 


36 


Pabt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


AETERIAL. 


Fig.  113.    Briddon's  Artery  Compressor. 


o:b 


The  action  of  this  instrument,  made  elastic,  by  running  the  screws  through  tense  india 
mbber  bands,  can  be  tolerated  for  a  long  time,  without  producing  any  annoying  complica- 
tions. 


Pressure  can  be  made,  either  at  two  points,  the  distance  between  which  may  be  varied 
according  to  circumstances,  or  the  instrument  may  be  taken  apart  and  a  single  compressor 
used  as  a  tourniquet.  A  smaller  instrument  can  be  made  for  the  upper  extremity,  a  larger 
one  adapted  for  compression  of  the  abdominal  aorta. 


The  hard  rubber  compressors  are  attached  to  the  Screws  by  ball  and  socket-joints  and 
fitted  mto  concavo-convex  caps  of  hard  wood  protected  by  several  layers  of  buckskin.  These 
additional  pads  are  put  on  just  before  screwing  down,  and  should  be  well  powdered  each  time 
they  are  applied. 

For  compression  at  the  groin,  a  ti'uncated  cone  of  lead,  (see  Fig.  C)  is  required.  This 
weighs  7  pounds,  and  tapers,  so  as  to  leave  a  neck  two  inches  long,  which  terminates  in  a 
bulb,  an  inch  and  a  quarter  in  diameter,  covered  with  buck-skin.  Into  the  base  of  this  cone 
an  iron  stem  of  ten  inches  length,  and  a  quarter  of  an  inch  thickness  is  secured.  To  control 
the  circulation  it  requires  also  four  or  five  perforated  discs  (see  Fig  D),  of  one  pound  each, 
to  string  over  the  stem  C,  which  is  maintained  in  position  by  a  cradle,  (see  Fig  B). 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  I. 

67   CHATHAM-STREET,    NEW- YORK.  37 

1  Pair  slide-catch  Tortion  Forceps , $2.50 

6  Needles,  Silk  and  Silver  Wire 1  25 

1  Steel  Director ,    ..... 0-60 

3  Silver  Probes 0.75 

1  Rosevirood  Case,  lined  with  oil-dyed  velvet 6.50 

Amount  $:J3.85 


COMPACT   MIlSrOR   OPERATIlSra   SET. 

With  Tlemann  <&   Co^s  Patent    Catch  Instruments. 

1  Metacarpal  Saw . ..........  $1.20 

1  Straight  Bistourie .  1.20 

1  Curved  probe-pointed  Bistourie ...  1.20 

1  Curved  sharp-pointed  Bistourie 1.20 

2  Scalpels,  @  |1.20 . 2.40 

1  Tenotome 1.20 

1  Tenaculum 1.20 

1  Post's  Exploring  and  Director  Needle. 1.20 

2  Handles,  @  |1.60 3.20 

1  Compound  male  and  female  Catheter  and  Caustic  Holder,  made  seamless,  of  sterling 

silver , 5.00 

1  Pair  slide-catch  Artery  Forceps 250 

1  Pair  straight  Scissors o ,     1.25 

1  Steel  Director , , 0.60 

2  Silver  Probes 0.76 

6  Needles,  Silk,  Wax  and  Plastic  Pins 0.75 

i  Morocco  covered  Case,  lined  with  oil-dyed  velvet 2  75 


Amount  $27.60 


HOSPITAL   MINOR   OPERATHSTG-  SET. 

2  Finger  Knives,  @  $1 $2.00 

2  Straight  probe-pointed  Bistouries,  @  $  1 2.00 

1  Straight  Hernia  Knife 1.00 

2  Curved  sharp-pointed  Bistouries,  @  $1 .....  2.00 

2  Curved  probe-pointed  Bistouries,  @  $1 2.00 

1  Curved  Hernia  Knife o 1.00 

1  Abscess  Knife 1.00 

1  Short  straight  Bistourie , ,  1.00 

4  Tenotomes,  various  shapes,  @  $1 4.00 

1  Tenaculum    ,  1.00 

1  Pair  Nichol's  Needle  Forceps 1.75 

1  Pair  Parker's  Retractors „ 1 .50 


F.  A.  Stohlmann.  Edxvard  tPfarre. 


Part  1. 
38  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


AETERIAL. 

Fig.  113. — May's  Tourniquet,  for  the  Treatment  of  Aneurism. 


A.  Pad  of  pressure. 

B.  Pad  of  counter-pressure. 

C.  Ball  and  socket-joint  in  the  pad  of  pressure,  which  is  governed  by  the  screw  and  nut,  D. 
E.  Detached  liey,  by  whicli  (when  fitted  on  F)  tlie  pads  can  be  separated  or  approached. 

O.  FenestrsG,  by  which  the  pads  can  be  adjusted. 

H.  Strap  and  buclile. 


Fig.  114. — Tiemann  &  Co.'s  Direct  Pressure  Tourniquet. 


"Will  not  easily  turn  over,  nor  hem  the  circulation  of  the  venous  blood. 


Fig.  1145. — Acupressure  Pins,  for  arresting  Surgical  Hemorrhage,  &c. 


See  Needles  and  Wire,  see  page  63. 

P.  A.  Stohlmann.  Edward  Pfarre. 


Pabt  1. 

67    CHATHAM-STREET,  NEW-YORK  39 

18  Assorted  Needles,  Silk,  Silver  Wire  and  Plastic  Pins $2.50 

12  Yards  annealed  Iron  Wire , o 0.10 

3  Serrefines,  @  25  cts „ . . , , 0  75 

1  Straight  and  1  curved  Tonsil  Knife,  @  f  1.50  ...... ..o,  o 3.00 

7  Scalpels,  assorted  sizes  and  shapes,  @  $1 7.00 

1  Green's  Double  Hook,  plain 1.50 

1  Pair  spring-catch  fenestrated  Artery  Forceps 2.00 

1  Pair  Coxeter's  plain  Artery  Forceps,  small .... 1.00 

1  Pair  Strabismus  Forceps o . . . , 1  25 

1  Pair  Tiemann  &  Co.'s  Bullet  Forceps ...... 2.25 

1  Whalebone  Bullet  Probe 0.50 

1  Nelaton's  Bullet  Probe 0.60 

1  Pair  Polypus  Forceps 2.25 

1  Pair  Yulcellum  Forceps 2.25 

1  Pair  straight  heavy  Scissors 1.50 

1  Pair  Scissors,  curved  on  the  flat 1.50 

?.  Pair  Scissors,  angular  curve 1.50 

1  Trocar  and  Canula o 2.00 

1  German  silver  Ear  Speculum , 2.50 

1  Belocq's  Sound,  for  epistaxis,  sterling  silver 3.00 

1  Steel  Director. 0.60 

1  Rosewood  Case,  brass-bound  and  lined  with  oil-dyed  velvet 15.00 

Amount  $74  80 


U.  S.  A=  STAFF  SURGEON'S  MINOR  OPERATING- 
SET. 

Regulation  Style  of  October,  1867. 

1  Amputating  Knife $2.50 

1  Long  Finger  Knife 2.00 

IHerniaKnife 1.75 

1  Straight  sharp-pointed  Bistourie 1.75 

1  Curved  sharp-pointed  Bistourie 1.75 

1  Curved  probe-pointed  Bistourie „ 1.75 

2  Scalpels,  large  and  small,  @  $1.75 3.50 

1  Pair  slide-catch  Artery  Forceps 3.00 

1  Pair  Tiemann  &  Co.'s  Bullet  Forceps  2.25 

1  Pair  Dressing  Forceps 1.50 

1  Pair  Coxeter's  Dissecting  Forceps,  smaU 1.00 

1  Pair  CEsophageal  Forceps,  French-joint ,  _ 2.50 

1  Set  Mott's  Aneurism  Needles  2.75 

12  Surgeon's  and  6  Wire  Suture  Needles 1.50 

1  Pair  straight  Scissors,  French-joint    1..50 

1  Pair  angular  Scissors,  French-joint 1.50 

1  Pair  Scissors,  curved  on  the  flat,  French-joint , 1.50 

1  Tenaculum 1.50 

1  Rectum  Trocar  and  Canula 300 

2  Double  Trachea  Tubes,  sterling  silver,  @  $6 12.00 


P.  A.  Stohlmann.  Edward  Pfarre. 


40 


Part  I. 
GEO.  TIEMANN  &  CO.'S   SURGICAL    INSTRUMENTS, 

BULLET. 

Fig.  115.     U.  S.  A.  Bullet  Forceps. 


Fig.  116.     Tiemann  &  Co.'s  Bullet  Scoop. 


Fig.  117.     Bullet  Seeker,  burr  head, 


Fig.  118.    Mose's  Bullet  Extractor, 


w///.'/////,'.'///Mw(y 


Fig.  119      Tiemann  &  Co.'s  Bullet  Screw. 


Fig.  130.     Nelaton's  Bullet  Probe,  porcelain  head. 


Fig.  131.    Tiemann  &  Co.'s  Bullet  Seeker,  flexible. 


^^^ 


Fig.  133.    Dr.  L.  A.  Satke's  Vertebrated  Bullet  Probe. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  I. 

G7   CHATHAM-STREET,   NEW-YORK.  41 

1  Belocq's  Canula  for  Epistaxis,  sterling  silver $3.00 

1  Nelaton's  Bullet  Probe 0.00 

1  Director  and  Porte  Meche  , O.CO 

1  Pair  flat  and  cutting  Pliers 2.50 

1  Wire  Ecraseur  with  two  points 6.50 

2  Grooved  Staffs,  @  $2 4.00 

1  Syme's  Staffs  2.00 

1  Plain  Sound 1.25 

6  Silver-plated,  double-curved  Bougies, 9.00 

3  Silver  Catheters  4.50 

3  Gum  Elastic  Catheters,  English,  @  40  cts 2.40 

1  Prostate  Gland  Catheter,  sterling  silver 4.00 

24  Suture  Pins 0.50 

6  Serrefines  @  25  cts 1.50 

6  Yards  Silver  Sutures 3.00 

1  (Esophageal  Probang,  silver  Crochet 3.00 

1  Tonsilotome    - 14.00 

1  Pair  Trousseaux  Tracheal  Forceps 2-00 

1  Mahogany  Case,  brass-bound 25.00 

I  Leather  Pouch T.OO 


Amount  $136.35 


No.  1.    TWO-FOLD  POCKET   SET. 

Two-fold  Morocco  Case,  single-hladed  Instruments  with  Tortoise-shell  Ilandles,  containing  : 
One  Scalpel,  one  probe-pointed  Bistourie,  one  Tenaculum,  one  pair  of  straight  Scissors,  one 
pair  of  Artery  Forceps,  one  Spatula,  one  Compound  (male  and  female)  Catheter,  one  Direc- 
tor, one  pair  of  silver  Probes,  six  Needles  and  Silk    ; $10.00 


No.  2.    TWO-FOLD  POCKET  SET. 

Two-fold  Morocco  Case,  single-bladed  Instruments  with  Tortoise-shell  Handles,  containing : 
One  Scalpel,  one  probe-pointed  Bistourie,  one  Tenaculum,  one  pair  of  straight  Scissors,  one 
pair  of  Artery  Forceps,  one  pair  of  Dressing  Forceps,  one  hard  rubber  and  silver  Caustic 
Case,  one  Compound  Male  and  Female  Catheter,  one  Director,  one  pair  of  silver  Probes,  six 
Needles  and  Silk $12.00 


No.   3.    THREE-FOLD  POCKET  SET. 

Three-fold  Morocco  Case,  single-bladed  Instruments  with  Tortoise-shell  Handles.  Contents  : 
One  Scalpel,  one  probe-pointed  Bistourie,  one  Tenaculum,  one  pair  of  straight  Scissors,  one 
pair  of  Artery  Forceps,  one  pair  of  Dressing  Forceps,  one  hard  rubber  and  silver  Caustic 
Case,  one  Spatula,  one  sharp-pointed  Bistourie,  one  Gum  Lancet,  one  Compound  3Iale  and 
Female  Catheter,  one  Director,  one  pair  of  silver  Probes,  six  Needles  and  Silk $15.00 


No.  4.    FOUR-FOLD  POCKET  CASE 

Leather  Case.     Contents  :  One  Male  and  Female  Catheter,  one  Tenaculum,  one  hard-rubber 
Caustic  Case,  two  silver  Probes,  one  Exploring  Needle,  one  Director  and  Aneurism  Needle. 
P.  A.  Stohlmann.  Edward  Pfarre. 


42 


Pakt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


Ph 


M 


i-J 


BULLET. 

Fig.  123.— Geo.  Tiemann  &  Co.'s  American  Bullet  Forceps. 


It 


Our  Bullet  Forceps 
lias  also  been  introduced 
into  the  European  Armies 
during  the  late  Franco- 
German  War  ;  it  is  highly- 
recommended  by  the 
Armj^  Surgeons,  and 
styled  by  them  "the 
American  Bullet  For- 
ceps." It  is  also  of  ma- 
terial service  in  the  re- 
moval of  i>ortions  of 
necrosed  bone. 


Fig.  1235.— Gross' 
Bullet  Forceps. 


^ 


P.  A.  Stohlmann. 


Edward  Pfarre, 


PAIIT  I. 

67  CHATHAM-STREET,    NEW-YORK.  43 

one  probe-pointed  Bistourie,  one  pair  Dressing  Polypus  Forceps,  one  Scalpel,  one  sharp- 
pointed  Bistourie,  one  pair  of  straight  Scissors,  one  pair  of  curved  Scissors,  one  Thumb  Lan- 
cet, one  Spatula,  one  pair  of  Dissecting  Forceps,  one  straight  Finger  Bistourie,  one  Seton 
Needle,  six  Needles  and  Ligature  Silk.  The  Instruments  have  Tortoise-shell  Handles  and 
are  Bingle-bladed $21.00 


No.  5.    HOSPITAL  POCKET  SET. 

Threefold  Russia-leather  or  Morocco  Case,  single-bladed  Instruments  with  Tortoise-shell 
Handles,  containing :  One  sharp-pointed  Bistourie,  one  probe-pointed  Bistourie,  one  Scalpel, 
one  Tenaculum,  one  Abscess  Lancet,  one  Compound  Catheter,  one  pair  of  straight  Scissors, 
one  pair  of  angular  Scissors,  one  pair  of  Dressing  Polypus  Forceps,  one  pair  of  plain  Artery 
Forceps,  one  Spatula,  one  steel  Director,  two  silver  Probes,  six  Needles  and  Ligature-Silk 

$18.00 


-No.   6.    PARKER'S  POCKET  SET. 

Twofold  Morocco  Case,  plain  double-bladed  Instruments  with  Tortoise-shell  Handles,  con- 
taining :  One  Scalpel  and  probe-pointed  Bistourie,  one  Tenotome  and  sharp-pointed  Bistou- 
rie, one  Tenaculum  and  Gum  Lancet,  one  pair  of  Dressing  Forceps,  one  pair  of  Artery  Forceps, 
one  pair  of  Scissors,  one  Lancet,  two  silver  Probes,  one  steel  Spatula,  one  steel  Director,  one 
plated  Compound  Catheter  and  Caustic-Holder,  six  Needles  and  Silk $18.00 


No.   7.    PARKER'S  FINE  POCKET  SET. 

Contents  the  same  as  in  No.  6.  Tortoise-shell  Handle  Instruments,  either  slide  or  spring- 
catch,  extra  fine  finished,  the  Compound  Catheter  (male  and  female)  is  made  of  sterling  silver, 
the  Caustic-Holder  seamless,  will  last  much  longer  than  a  soldered  one.  The  Case  is  made  of 
genuine  Turkey  morocco,  with  a  silver  lock,  very  neat  and  compact $25.00 


No.   8.    MULTUM  IN  PARVO  POCKET   SET. 

Turkey  morocco  Case,  silk-velvet  lining,  silver  lock.  Instruments  Tortoise-shell  Handles 
with  spring  or  slide-catch,  double-bladed,  containing :  One  Scalpel  and  probe-pointed  Bistou- 
rie, one  sharp-pomted  Bistourie  and  Tenotome,  one  Gum  Lancet  and  Tenaculum,  one  pair  of 
straight  Scissors,  one  pan-  of  fenestrated  spring-catch  Artery  Forceps,  one  Female  Catheter 
and  Caustic-Case  made  of  sterling  silver,  one  steel  Director,  two  silver  Probes,  six  Needles 
and  Silk $19.00 


No.  9.    G-UNN'S  POCKET  SET. 

Turkey  morocco  Case,  silk-vch^et  lining,  silver  lock.  Instruments  double-bladed,  Tortoise- 
shell  Handles  with  slide  or  spring-catch.  Contents  :  One  Scalpel  and  Exploring  Needle,  one 
sharp-pointed  Bistourie  and  Tenotome,  one  probe-pointed  Bistourie  and  one  Scalpel,  one 
Seton  Needle,  one  Tenaculum,  one  pair  of  Scissors,  one  screw  Probe  Director,  one  pair  of  Tor- 
tion  Forceps  with  slide-catch  and  a  long  groove,  answers  also  for  holding  Suture  Needles,  four 
Suture  Needles,  one  sharp  and  two  blunt  Aneurism  Needles,  one  skein  Ligature-Silk.  $20.00 


P.  A.  Stohlmann,  Edward  Pfarre. 


44 


Part  I. 
GEO.  TIEMANN  &  CO.'S   SURGICAL   INSTRUMENTS, 

MmOE  OPERATING. 

Fig.  129.     Plain  Artery  Forceps. 


Fig.  130.     Coxeter's  Artery  Forceps. 


^^S^9^^^^^mmm^ 


I  Fig.  131.     Spring-catcli  Artery  Forceps.     Bull  Dog  or  Plain  Teeth. 


W 


Fig.  132.     Slide-catch  Artery  or  Tortion  Forceps. 


Fig.  135.     Exploring  Director     Lancet  Point. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  1. 
67   CHATHAM-STREET,   NEW-YORK.  45 

No.  10.    VAN  BUKEN'S  POCKET  SET. 

Turkey  morocco  Case,  silk-velvet  lining,  silver  lock.  Instruments  doublc-bladed,  Tortoise- 
shell  Handles  with  slide  or  spring-catch.  Contents  :  One  sharp-pointed  Bistourie  and  Teno- 
tome, one  Scalpel  and  one  probo-pointed  Bistourie,  one  Gum  Lancet  and  Tenaculum,  one  pair 
of  straight  Scissors,  one  pair  of  Bulldog  Artery  Forceps,  one  steel  Director,  two  silver  Probes, 
one  silver  Male  and  Female  Catheter  of  sterling  silver  and  Caustic  Case  sterling  silver  seam- 
less, six  Needles  and  Ligature-Silk $22.00 


No.  11.    aROSS'  POCKET  SET. 

Russia-leather  or  morocco  Case,  German  silver  lock.  Instruments  double  and  single-bladed, 
Tortoise-shell  Handles  with  slide  or  spring-catch.  Contents  :  One  pair  mouse-teeth  Artery 
Forceps,  delicate,  one  Scalpel,  one  pair  of  Dressing  Polypus  Forceps,  one  probe-pointed  Bis- 
tourie and  Tenaculum,  one  sharp-pointed  Bistourie  and  Tenotome,  one  pair  of  straight  Scis- 
sors, one  Finger  Bistourie,  one  Caustic-holder,  plated,  one  pair  Vulcellum  Forceps,  one  Ex- 
ploring Needle,  one  Gross'  Ear  Spoon,  one  steel  Director,  six  Needles  and  Ligature-Silk,  two 
silver  Probes,  one  Male  and  Female  Catheter |22.00 


No.  12.    G-ROSS'  FINE  POCKET  SET. 

Two-fold  Turkey  morocco  Case,  lined  with  silk  velvet,  silver  lock.  Contents  the  same  as 
in  No.  11.  The  Caustic  Case  is  made  of  sterling  silver,  seamless,  lasting  much  longer  than  a 
soldered  one.  The  Male  and  Female  Catheter  are  of  sterling  silver  and  the  whole  of  extra 
fine  finish  and  quality $26.00 


No.  13.    U.  S.  A.  POCKET  SET. 

Russia  leather  Case  with  German  silver  lock.  Instruments  all  single-bladed,  Tortoise-sheU 
Handles  with  spring  or  slide-catch  and  plain.  Contents  :  One  Scalpel,  one  straight  Finger 
Knife,  one  curved  probe-pointed  Bistourie,  one  curved  sharp-pointed  Bistourie,  one  Tenotome, 
one  Gum  Lancet,  two  Thumb  Lancets,  one  small  Razor,  one  pair  Artery  Forceps,  one  Aneurism 
Needle,  one  Exploring  Needle,  one  Tenaculum,  one  pair  of  Scissors,  one  steel  Director,  three 
silver  Probes,  one  silver  Caustic  Case,  one  Compound  Catheter,  six  yards  Iron  Wire,  six 
Needles  and  Ligature  Silk $28.00 


No.  14.    HEED'S  POCKET  CASE. 

Turkey  morocco  Case,  silk-velvet  lining,  silver  lock.  Instruments  double-bladed.  Tortoise 
shell  Handles,  slide-catch.  Contents  :  One  Scalpel  and  probe-pointed  Bistourie,  one  sharp- 
pointed  Bistourie  and  Tenotome,  one  Gum  Lancet  and  Tenaculum,  one  pair  of  straight  Scis- 
sors, one  pair  Bulldog  Artery  Forceps  with  spring-catch,  one  pair  Dressing  Polypus  Forceps, 
one  Spatula  and  Elevator,  one  steel  Director,  two  silver  Probes,  one  Metacarpal  Saw,  one 
Thumb  Lancet,  one  Exploring  Needle,  one  Compound  Catheter  and  Caustic  Case  of  sterlinff 
silver,  six  Needles  and  Ligature  Silk $27.00 


No.  15.    HAMILTON'S  POCKET  SET. 

Turkey  morocco  Case,  lined  with  silk-velvet,  silver  lock.     Instruments  double-bladed.  Tor- 
toise-shell Handles  with  spring-catch.     Contents  :  One  large  Scalpel  and  Explorinf  Needle, 
P.  A.  Stohlmann,  Edward  Pfarre. 


46 


Pakt  I. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

MINOR  OPEEATINa. 

Fig.  136.     Tenaculum.     See  also  Figs.  12.  33. 


Fig.  137.     Small  Scalpel. 


'G.  TIEMANN  &  CO. 


Fig.  138.     Medium  Scalpel. 


G.  TrEMAlNi,  &   CO. 


Fig.  139.  Curved 

Probe-poiuted 

Bistourie. 


Fig.  140. 

Cooper's 

Hernia  Eaiife. 


Fig.  141.  Fig.  142.        Fig.  143.  Curved 

Large  Scalpel.  Straight  sharp-pointed 

Finger  Knife.  Bistourie. 


J 


'=n^         <0 


"F.  A.  Stohlmann. 


Edward  Pfarre. 


FQ 


fH 


Part  I. 
67  CHATHAM-STREET,  NEW-YORK.  47 

one  medium  and  one  small  Scalpel,  one  Tenaculum  and  aneurism  Needle,  one  sharp  and  one 
blunt-pointed  Tenotome,  one  Metacarpal  Saw,  one  pair  of  Bull-Dog  Artery  Forceps  with 
spring-catch,  one  pair  of  slide-catch  Tortion  Forceps,  one  pair  of  straight  Scis.sors,  one  Thumb 
Lancet,  one  set  of  silver  Probes  and  Nelaton's  Bullet  Probe,  one  Male  and  Female  Catheter 

and  Caustic  Holder  of  sterling  silver,  six  Needles  and  Ligature  Silk $.'J2.00 

The  same  without  the  Catheter  and  Caustic  Case $27.00 


No.  16.    FINE  rOUK-FOLD  POCKET  CASE. 

The  Contents  of  this  Set  are  the  same  as  in  No.  4.  But  the  Instruments  are  all  of  the 
very  best  quality  and  finish  ;  Tortoise-shell  Handles  with  spring  or  slide-catch.  The  Cathe- 
ters and  Probes  are  of  sterling  silver.  This  Set  is  put  up  in  a  very  neat  Turkey  morocco 
Case  with  a  silver  lock $36  00 


No.  17     HEG-IMENTAL  SURG-EONS'  POCKET  SET. 

Russia  leather  Case  with  strong  German  silver  lock.  Instruments  plain,  single-bladed.  Tor- 
toise-shell Handles.  Contents  :  One  Scalpel,  one  sharp-pointed  Bistourie,  one  probe-pointed 
Bistourie,  one  Finger  Bistourie,  one  Gum  Lancet,  one  Thumb  Lancet,  one  smaU  Razor,  one 
pair  of  Dressing  Forceps,  one  Artery  Needle,  six  Surgeon's  Needles,  one  Exploring  Needle, 
one  Tenaculum,  one  pair  of  Scissors,  one  steel  Director,  three  silver  Probes,  one  silver  gilt 
Caustic  Holder,  one  Compound  Catheter,  three  yards  of  Iron  Wire  for  Sutures,  one  pair  of 
plain  Artery  Forceps,  one  Tenotome,  Ligature  Silk  and  Wax |23.00 


No.  18.    DUG-AS'  POCKET  SET. 

Turkey  morocco  Case  lined  with  silk-velvet,  silver  lock,  and  chamois-leather  pouch.  In- 
struments have  Tortoise-shell  Handles  with  a  very  firm  slide-catch,  two  strong  blades  in  one 
handle.  Contents:  One  jointed  Porte  Caustic  for  nitrate  of  silver  and  sulphate  of  copper 
and  one  Cataract  Needle  and  one  male  and  female  Catheter  made  of  sterling  silver,  one  pair 
of  Dissecting,  Artery  and  Needle  Forceps,  one  Thumb  Lancet,  one  pair  of  delicate  Artery 
Forceps,  one  Spatula  and  Elevator,  one  Belocq's  Sound  of  sterling  silver,  one  pair  of  curved 
Scissors,  one  Ear  Spoon  and  Tumor  Hook,  one  grooved  Director  of  sterling  silver,  two  Eye 
Probes,  two  Probes  and  Director  Probe  of  sterling  silver,  one  Porte  Meche,  one  pair  of  Po- 
lypus and  Shot  Forceps,  one  Dupuytren's  Probang  with  three  silver  joints  and  sii^  er  basket, 
one  large  and  one  smaU  French  Finger  Knife,  one  large  and  one  small  straight  Bistourie,  one 
straight  probe-pointed  Bistourie  and  Tenotome,  one  Gum  Lancet  and  Exploring  Needle,  one 
Tenaculum  and  Artery  Needle,  six  curved  and  six  straight  Needles,  Silver  Wire  and  Silk 
Sutures $56.00 


No.  19.    DUG-AS'   DRESSING   CASE. 

One  morocco  Case  lined  with  silk  velvet,  silver  lock.  Contents  :  One  silver  Caustic  Case, 
one  Dissecting  Artery  and  Needle  Forceps,  one  Thumb  Lancet,  one  pair  of  straight  Scissors, 
one  grooved  Director,  one  silver  Probe  with  an  eye,  one  silver  grooved  Probe,  one  large  and 
one  small  straight  Bistourie,  one  Tenaculum  and  Gum  Lancet,  six  Needles  and  Suture  Silk, 

$18.00 


No.  20.    J.   R.  WOOD'S   POCKET   SET. 

Morocco  Case  lined  with  silk  velvet.     Instruments  double  bladcd,  Tortoise-shell  Handles 
with  spring  or  slide  catches.     Contents  :  One  Scalpel  and  Gum  Lancet,  one  Scalpel  and  Teno- 
P.  A.  Stohlmann.  Edward  Pfarre. 


48 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


MINOR  OPEEATma. 

Fig.  144. — Peter's  Hernia  Director. 


Fig.  145rr — Hamilton's  Dry  Dissector. 


G.TIEMANN  8.  CO. 


Fig.  145i. — Hamilton's  I')rv  Dissector. 


G.TIEMANN  8.  CO. 


Fig.  147. 


Fig.  148. 
a.        b.        c. 


Fig.  14Ga.— Little's  large  Scalpel. 

b. — Little's  medium  Scalpel. 
c. — Little's  small  Scalpel. 
d. — Little's  Tenaculum. 
e. — Little's  Aneurism  Needle. 


Fig.  147.— Little's  Retractor. 
Fig.  148a. — Little's  sharp-pointed  Bistoury. 
b. — Little's  Hernia  Knife. 
c. — Little's  probe-pointed  Bistoury. 
d. — Little's  straight  Bistoury. 


The  extremity  of  the  handles  are  rounded  off  and  brought  to  a  dull  edge  to  use  in  dry  dis- 
secting. 

"P'tg.  149. — Artery  Scissors,  or  for  opening  other  small  Canals. 


F.  A.  Stohlmann. 


Ed'ward  Pfarre. 


Pakt  I. 
67   CHATHAM-STREET,  NEW-YORK.  49 

tome,  one  sharp  and  one  probe-pointed  Bistourie,  one  Aneurism  Needle  and  one  Explorinp: 
Needle,  one  Compound  Male  and  Female  C;itheter  and  Caustic  case,  one  pair  of  straiglit 
Scissors,  one  Pair  of  Dressing  Polypus  Forceps,  one  pair  of  Hamilton's  Artery  Forceps,  one 
pail  of  plain  Artery  Forceps,  one  grooved  silver  Probe  and  Nelaton's  porcelain  head  in  three 
parts  united  by  screw,  one  Lancet,  two  plain  silver  Probes,  one  coil  silver  Suture  "Wire,  six 
Needles  and  Ligature  Silk $27.50 


No.  21.    TIEMAlSriSr  &  CO.'S  PATENT  POCKET  CASE. 

PATENT  CATCH  INSTRUMENTS.    See  Fig.  185. 

A  very  neat  and  compact  Case  of  Turkey  morocco,  with  silver  lock.  Contents  :  Two  patent 
catch  Handles,  one  Post's  Explormg  Needle,  one  Tenaculum,  one  Gum  Lancet,  one  sharp- 
pointed  Bistourie,  one  probe-pointed  Bistourie,  one  Tenotomy  Knife,  one  large  Scalpel,  one 
small  Scalpel,  one  Finger  Knife,  one  Metacarpal  Saw,  one  Lancet,  one  pair  of  straight  Scis- 
sors, one  pair  of  Dressing  Forceps,  one  pair  of  spring-catch  fenestrated  Artery  Forceps  one 
Spatula,  one  grooved  Director  and  Aneurism  Needle,  two  silver  Probes,  one  Compound  Ca- 
theter of  sterling  silver,  one  Caustic  Case  of  sterling  silver  made  seamless,  six  Needles  and 
Suture  Silk,  two  coils  of  silver  Suture  Wire $33.00 


No.  22.  EXHIBITION  POCKET   SET,    extra  size. 

Five-fold  Turkey  Morocco  Case  with  one  inner  and  one  outside  silver  lock,  containing  :  Our 
patent-catch  Instruments,  two  large  and  two  small  Tortoise-shell  patent  catch  Handles,  one 
moveable  back  Saw  and  one  Amputating  Knife,  both  5  inch  blades,  one  Amputating  Scalpel,  two 
assorted  Scalpels,  one  Tenotome,  one  Gum  Lancet,  one  blunt-pointed  straight  Bistourie,  one 
curved  probe-pointed  Bistourie,  one  curved  sharp-pointed  Bistourie,  one  Post's  Wire  Needle, 
one  Cataract  Needle,  one  Cooper's  Hernia  Knife,  one  Tenaculum,  one  Exploring  Lancet,  one 
Aneurism  Needle,  one  Belocq's  Sound  for  epistaxis  (silver),  one  silver  Male  and  Female  Catheter 
with  Caustic  Case,  one  Abscess  Lancet,  one  Thumb  Lancet,  one  Weir's  Yaccinating  Lancet, 
one  Seton  Needle,  one  pair  of  straight  Scissors,  one  pair  of  angular  Scissors,  one  fenestrated 
sprmg-catch  Artery  Forceps,  one  Tortion  Forceps,  one  Front's  Needle  Forceps  with  slide- 
catch,  one  pair  of  Polypus  and  Dressing  Forceps,  combined  with  Tiemann  &  Co.'s  Bullet  Ex- 
tractor, Uterine  and  ffisophagus  Forceps  and  Vuloellum  Forceps,  Ligature,  Suture  Needles, 
Plastic  Pins,  silver  and  Iron  Wire,  Serrefines,  one  pair  of  fine  curved-up  Scissors,  one  Thumb 
Forceps  for  extracting  splinters,  &c.,  one  Exploring  Trocar,  one  Trocar  for  hydrocele  and 
escites,  one  set  of  silver  Probes  with  Nelaton's  Bullet  Probe,  one  Director,  one  Porte  Meche, 
one  whalebone  Probe,  one  Artery  Constrictor,  one  Ear-Scoop  and  Hook  to  remove  foreign 
bodies,  one  Spatula  with  Elevator $100.00 


TREPANNING    SET. 

Contents  :  One  Gait's  Trephine,  one  Crown  Trephine,  one  Trephine  Handle,  one  Trepan- 
ning Scalpel  and  Raspatory,  one  Trepanning  Elevator,  one  Hey's  Skull  Saw,  one  Brush  for 
cleaning  Trephines  and  Saw.  in  a  Mahogany  Case. » $16.00 


F,  A.  Stohlmann.  Edward  Pfarre, 


50 


Part  I. 
GEO.    TIEMANN  &   CO.'S  SURGICAL   INSTRUMENTS, 

MINOR  OPERATINa. 

Fig.  150.     Angular  Operating  Scissors. 


F.  A.  Stohlmaun 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK.  51 


No.  23.     SAYRE'S   POCKET   SET. 

Two-fold  morocco  Case.  One  sharp  and  blunt-pointed  Tenotome,  one  Tenaculum  and  sharp- 
pointed  Bistoury,  one  Scalpel  and  probe-pointed  Bistoury,  one  Finger  Knife,  one  pair  plain 
Artery  Forceps,  one  pair  straight  Scissors,  one  Director  and  Tongue-Tie,  one  pair  silver  Probes, 
one  Compound  Catheter,  silver,  one  silver  Caustic  Case,  seamless,  six  Needles,  Silk  and  Wax. 

$23.50 


No.  24.    LITTLE'S  POCKET   SET. 

Two-fold  Russia  leather  Case,  Instruments  slide  catch,  Turtle  Shell  handles.  One  Scalpel 
and  sharp-pointed  Bistoury,  one  Tenaculum  and  probe-pointed  Bistoury,  one  Gum  Lancet  and 
Tenotome,  one  Hernia  Bistoury  and  Finger  Knife,  one  pair  angular  Scissors,  one  pair  Poly- 
pus dressing  Forceps,  one  pair  fine  Thumb  Forceps,  one  Weir's  Vaccinating  Lancet,  one  Ex- 
ploring Needle,  one  Spatula  Avith  Tongue-Tie,  one  Director  and  Aneurism  Needle,  one  Parker's 
silver  Cnthc+^r  ani  Caustic  Case,  two  silver  Probes,  six  Needles,  Silk  and  Wax .$25.00 

WlLh  Thermometer $28.00 


TTo.  25.    HELMUTH'S   POCKET  SET. 

Either  two-  or  three-fold  morocco  Case.  One  Tenaculum  and  Hernia  Knife,  one  Scalpel  and 
Tenotome,  one  sharp  and  probe-pointed  Bistourie,  one  Front's  Needle  Forceps,  one  pair  fenes- 
trated Artery  Forceps,  one  pair  plain  Artery  Forceps,  one  pair  Dressing  Forceps,  one  pair 
Scissors,  one  Uterine  Sound,  to  screw  apart,  one  Thermometer,  one  Compound  Catheter  and 
Caustic  Case,  plated,  one  steel  Director,  two  Probes,  one  Exploring  Trocar,  one  Hook  and  Ad- 
juster, six  Needles,  Silk,  Wax $32.00 


No.  26.     CROSBY'S   POCKET   SET. 

One-fold  morocco  Case.  One  Scalpel  and  probe-pointed  Bistoury,  one  Tenotome  and  sharp- 
pointed  Bistoury,  one  Tenaculum  and  Exploring  Needle,  one  pair  Artery  Forceps,  one  pair 
Scissors,  one  Director  and  Aneurism  Needle,  two  Probes,  six  Needles,  Silk,  Wax $15.00 


No.  27.    MINOR'S  POCKET   SET. 

Two-fold  morocco  Case.  One  pair  spring-catch  Forceps,  one  pair  Hamilton's  Arterj'-  For- 
ceps, one  Tenaculum  and  Aneurism  Needle,  one  sharp-  and  one  blunt-pointed  Tenotome,  one 
sharp-pointed  Bistoury  and  Scalpel,  one  silver  Probe  and  Director,  one  pair  Scissors,  six 
Needles,  Silk,  one  silver  Catheter  and  Caustic  Case $22.50 


F.  A.  Stohlmann.  Edward  Pfarre. 


52 


Part  1. 
GEO.  TIEMANN  &  CO  'S  eURGICAL  INSTRUMENTS, 

MINOE  OPEEATma. 

Fig.  155.     Parker's  Comijound  Catheter  and  Caustic  Holder. 


Fig.  159.     Spatula.     Made  of  Steel  or  Hard  Rubber. 


TIEMANN  i.  CO. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  1. 
67  CHATHAM  STREET,  NEW  YORK.  53 


ISTo.  28.    WIG-HT'S  POCKET  SET. 

Two-fold  Frame  Case.  One  Scalpel  and  Finger  Knife,  one  Tenotome  and  sharp-pointed 
Bistoury,  one  Scalpel  and  probe-pointed  Bistomy,  one  Tenaculum  and  Gum  Lancet,  one  pair 
Wight's  Artery  Forceps,  one  pair  Thumb  Forceps,  one  Sand's  Needle  Holder,  one  Exploring 
Needle,  one  pair  straight  Scissors,  one  pair  curved  Scissors,  one  Thermometer  in  hard-i-ubber 
Case,  one  Parker's  Catheter  and  Caustic  Case,  one  Director  and  Aneurism  Needle,  two  silver 
Probes,  one  Metacarpal  Saw,  six  Needles,  Silk,  Wax $37.00 


:N"o.  29.    WEIR'S  POCKET  SET. 

Either  two-  or  three-fold  morocco  Case.  One  Aneurism  Needle  and  sharp-pointed  Bistoury, 
one  Gum  Lancet  and  probe-pointed  Bistoury,  one  Hernia  Knife  and  Tenaculum,  one  Tenotome 
and  Scalpel,  one  pair  Scissors,  one  Director,  two  Trobes,  one  Thermometer  in  silver  Case,  one 
pair  Thumb  Forceps,  one  pair  Dressing  Forceps,  one  Weir's  Vaccinating  Lancet,  one  silver 
Female  Catheter  and  Caustic  Holder,  one  Stimson's  Hypodermic  Syringe,  six  Needles,  Silk, 
Wax,  Wire $30.00 


No,  30.    G-AY'S  POCKET  SET. 

SPRING-BACK  INSTRUMENTS. 

Morocco  Case,  4  inches  long  oy  2  wide,  silver  lock.  One  Tiemann  &  Co.'s  bent  Thermo- 
meter, one  patent  Hypodermic  Syringe,  one  Scalpel  and  probe-pointed  Bistoury,  one  Gum 
Lancet  and  Tenotome,  one  Female  Catheter  and  Caustic  Case,  one  Gay's  Scissors,  both  rings 
open  (Fig.  1756),  one  pair  Artery  Forceps,  plain,  one  Spatula  and  grooved  Director  Probe,  steel, 
one  silver  Director  Probe,  one  silver  Probe,  six  straight  Needles,  Silk,  Wax $22.00 


No.   31.    ANDREWS'    POCKET    CASE. 

Black  hard  rubber  Case,  with  nickel-plated  mountings,  the  instruments  placed  on  metallic 
rests,  so  as  to  dispense  with  velvet  lining.  One  Scalpel,  one  curved  sharp  pointed  Bistoury,  one 
curved  blunt  pointed  Bistoury,  one  Tenotome,  one  Tenaculum,  one  grooved  Exploring  Needle, 
one  Abscess  Lancet,  one  pair  Scissors,  one  pair  Dressing  Forceps,  one  pair  Artery  Forceps, 
toothed,  one  pair  Andrew's  toothed  bull-dog  Forceps,  one  combined  Catheter,  one  Andrew's 
pocket  case  Saw,  one  ivory  card  for  Ligature,  one  grooved  Director,  one  Probe,  6  Needles,  kept 
in  a  little  compartment  with  a  metallic,  nickeled  lid. 

The  first  seven  instruments  each  in  a  thin  ivory  handle,  the  length  not  to  exceed  5  inches, 
these  are  set  up  edgewise  in  the  Case.    (Figs.  17,  18,  &c.,  page  6) $28.00 


F.  A.  Stohlmann.  Edward  Pfarre. 


54 


Part  I. 
GEO.  TIEMANN  &  GO'S   SURGICAL    INSTRUMENTS, 

MmOE  OPEEATING. 

Fig.  160.     Plain  Shell  Handle  Pocket  Instrument. 
Siuijle  bladed. 


viz :  Curved  Bistouries,  sharp  and  probe-pointed  Scalpels,  large  and  small  French  Finger 
Knives,  Tenaculums,  Gum  Lancets,  Abscess  Lancets,  Thumb  Lancets,  Vaccinnating  Lan- 
cets, &c. 


Fig.  IGL     Seton  Needle,  Fig.  162.  Plain  double  bladed        Fig.  163.     Tortion  Forceps 

Pocket  Instrument. 


P.  A.  Stohlmann. 


Ed-ward  Pfarre. 


Part  1. 
67  CHATHAM  STREET,  NEW  YORK.  55 


No.  32.  WOODWARD'S   POCKET   SET. 

(By  Dr.  Woodward,  Surgeon  General  Marine  Hospital  Serviee,  U.  S.) 

Two-fold  red  morocco  Case,  with  metal  hinge  and  lo(;k,  very  flat.  One  male  and  female 
Cathether,  silver,  one  Vaccinating  and  one  Exploring  Lancet,  concealed  inside  of  the  Catliether, 
one  open  ring  Dressing  Forceps,  answers  for  holding  needles  also  ;  one  pair  of  Scissors  with 
one  open  ring,  one  Tenotome  and  Scalpel,  white  handle,  spring  back;  one  sharp-pointed  and  one 
probe-pointed  Bistoury,  white  handle,  spring  back  ;  one  Abscess  Lancet,  one  silver  Ear  Spoon 
and  Probe,  one  steel  Tenaculum  and  delicate  Ear  Hook,  one  Director  and  Sim's  Adjuster, 
six  Needles,  Silk  and  Wax. 

Price $22.00 


No.   33.   MASON'S    POCKET    CASE. 

Fine  two-fold  morocco  Case.  One  Scalpel  and  Gum  Lancet,  one  Scalpel  and  probe-pointed 
Bistoury,  one  sharp-pointed  Bistoury  and  blunt-pointed  Tenotome,  one  Tenaculum  and  Aneur- 
ism-Needle, ( all  of  these  Tortoise-shell  handles  with  slide  catches) ;  one  pair  Hamilton's  Artery 
Forceps,  one  pair  silver  Probes,  one  German-silver  Director,  one  pair  small  Thumb  Forceps, 
one  pair  fine  Polypus  dressing  Forceps,  one  fine  Thumb  Lancet,  shell  handle,  one  Parker's 
plated  Catheter,  one  pair  straight  Scissors,  one  fine  self -registering  Thermometer,  six  Needles, 
Silk,  Wax $30.00 


LITTLE'S   QENERAL   OPERATING-  SET. 

Two  Screw  Handles,  to  fit,  one  large  and  one  small  Amputating  Knife  and  one  Bow 
Saw,  one  pair  Phelps'  Torsion  Forceps,  one  pair  plain  Artery  Forceps,  one  pair  Bone 
Forceps,  one  Spiral  Tourniquet,  one  Nelaton's  Probe,  one  Tiemann  &  Co.'s  Bullet  Forceps,  one 
Students'  Aneurism  Needle,  one  Director  with  Tongue-Tie,-  silver,  one  Hernia  Director,  one 
Trocar,  one  pair  Polypus  Forceps,  one  pair  delicate  straight  Scissors,  one  pair  strong  Scissors, 
curved  flatwise,  one  pair  Cuskoe's  Throat  Forceps,  one  plain  Trepanning  Elevator,  one  curved 
Rongeur,  one  Van  Buren's  Sequestrum  Forceps,  one  plain  Chisel,  one  plain  Gouge,  one  Pereos- 
teotome,  one  Gait's  Trephine,  three  sizes  Scalpels,  one  French  Finger  Knife,  one  sharp-pointed 
Bistoury,  one  probe-pointed  Bistoury,  one  Hernia  Knife,  two  Retractors,  one  Tenaculum,  one 
plain  Aneurism  Needle,  one  fine  silver  Probe,  two  silver  Probes,  three  plated  Catheters,  one 
Prostatic  Catheter,  three  steel  Sounds,  twelve  Needles,  Silk,  silver  Wire,  Plastic  Pins,  Wax. 

Rosewood  Case,  brass  bound,  lined  with  oil-dyed  silk  velvet $100.00 


LITTLE'S  MINOR   OPERATING-   SET. 

Three  sizes  Scalpels,  one  sharp-pointed  Bistoury,  one  probe-pointed  Bistoury,  one  Finger 
Knife,  one  Tenaculum,  one  Hernia  Knife,  one  pair  Thumb  Forceps,  one  pair  Phelps'  Artery 
and  Torsion  Forceps,  one  Aneurism  Needle,  two  Retractors,  one  Peter's  Hernia  Director,  one 
Trocar  and  Canula,  one  pair  angular  Scissors,  one  German  silver  Director,  two  silver  Probes, 
one  small  curved  Rongeur,  six  Needles,  Silk,  Wax,  Wire. 

Rosewood  Case,  lined  with  oil-dyed  velvet $37.00 

F.  A.  Stohlmann.  Edward  Pfarre. 


56 


Part  I. 
GEO.   TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 

MmoE  oPERATma. 

Fig.  164.     Spear-poiuted  Thumb  Lancet, 


Fig.  165.    Abscess  Lancet. 


Fig.  167.     Cooper's 
Hernia  Knife 


Fig.  166.    Broad-pointed  Thumb  Lancet. 


Fig.  168.     Curved  Probe-pointed 
Bistourie. 


(U 


W 


Fig.  169.     Curved 
sharp-pointed  Blstoune 


F.  A.  Stoliimanu. 


Edward  Pfarre. 


Part  1. 
67  CHATHAM  STREET,  NEW  YORE. 


67 


OTIS'  U.  S.  A.  COMPACT  FIELD  SET. 


TRAY   No.  1,  G.TlEiViANNaCO 

Fitting  over  the  compartment  A,  contains  : — One  strong  Cartilage  Knife,  one  small  Ampu- 
tating Knife,  one  medium  Catling,  one  medium  Amputating  Knife,  one  large  Catling,  one 
major  Amputating  Knife,  one  straight  sharp-pointed  Bistoury,  one  curved  shai-p-pointed  Bis- 
toury, one  probe-pointed  curved  Bistoury,  one  long  straight  probe-pointed  Bistoury,  one  Tena- 
culum, one  large  Scalpel,  one  small  and  one  very  small  Knife  for  dissections  and  ligations. 


TRAY   Na.a.  G.TiEMANN  SlCQ 


Fitting  into  compartment,  B,  contains  :  one  Hey's  Saw,  one   Torsion  Forceps,  one  Needle 
Forceps,  one  Artery  Needle  Holder  with  4  points  and  1  key. 


GT.Firrti4i'<&CQ 


F.  A.  Stohlraann. 


Edward  Pfarre. 


58 


Part  1. 
GEO    TIEMANN  &  CO  'S  SURGICAL  INSTRUMENTS, 

MINOE  OPEEATma. 

Fig.  170.    Pocket-Scalpel  Avitli  slide  catck. 


Fig.  171.     Tenotome 


Fig.  173.     Gum  Lancet. 


Fig.  173.    Tenaculum 


Fig    174.     Syme's  Abscess  Knife  and  Scalpel. 


pq 


% 


F.  A,  Stohlmann, 


Edward  Pfarre. 


Pabt  T. 
67  CHATHAM  STREET,  NEW  YORK.  59 


OTIS'  COMPACT  FIELD  SET. 

(continued.) 

Compartment  A  contains  :— One  Tourniquet,  one  large  Liston's  Bone  Forceps,  one  Rongeur, 
one  Sequestrum  Forceps,  one  Lion  Forceps,  one  conical  Trephine,  one  Trepliine-brusb,  two  Ger- 
man-silver Retractors,  one  Osteotome,  handle  with  4  points,  one  Tire-fond,  one  Oliver's  curved 
Osteotome  and  Chain-Saw  Conductor,  one  Scissors,  one  Dissecting  Forceps,  one  Artery  Forceps, 
one  silver  grooved  Director. 

Compartment  B  contains  : — One  major  Saw  with  2  extra  narrower  blades,  one  moveable  back 
Saw,  one  English  No.  6  gum  elastic  Cathether,  one  Elevator,  one  Bullet  Forceps  (Gross),  one 
Tiemann  &  Co.'s  Bullet  Forceps,  one  long  articulated  Probe  or  sonde  depoitrine  with  2  Nelaton 
or  porcelain  tips,  one  burrheaded  Ballsearcher,  one  Chain-Saw,  rotating  handles  and  needle,  ten 
large  Serresfines,  two  coils  of  annealed  iron  wire  under  the  moveable  back  saw  ;  silk,  linen  and 
catgut  Ligatures,  Wax,  silver  suture  Wire,  surgeons'  curved  Needles,  acupressure  Pins,  two 
silver  Probes. 

Mahogany  Brass-bound  Case,  lined  with  oil-dyed  velvet $160.00 


DARBY'S  COMPACT  OPERATING-  SET. 

One  Amputating  Knife,  clasp-handle  ;  one  Finger  Knife,  one  Amputating  Scalpel,  one 
Aneurism  Needle,  one  Operating  Scalpel,  one  Tenotome,  one  hard  rubber  Trachea  Tube  ;  four 
instruments,  consisting  of  one  Gouge  and  three  Pereosteotomes  and  Levators,  fitted  into  one 
strong  handle  ;  one  folding  Tourniquet,  three  Serres-fines,  one  Metacarpal  Saw,  one  Hey's  Saw, 
one  Trepanning  Elevator  and  Raspatory,  one  Catling  clasp-handle,  one  Hamilton's  spring 
catch  Artery  Forceps,  one  Torsion  Forceps,  one  Darby's  Forceps,  one  Gait's  Trephine,  1  small 
Trephine,  1  Trephine  Handle,  one  Bow-saw  with  two  blades,  one  Darby's  Rongeur  and  Bone- 
holder,  1  Chain-Saw  and  Needle,  six  Suture  Needles,  Silk,  Pins,  Wax,  1  Liston's  Forceps. 

Rosewood  Case,  lined  with  oil-dyed  velvet , . . .  ,$80.00 


MASON'S  MINOR  OPERATING^  SET. 

IVORY  HANDLE  INSTRUMENTS  WITH  FERULES. 

One  Metacarpal  Saw,  four  Scalpels,  four  Bistouries,  one  Tenotome,  one  Tenaculum,  one  set 
Fletcher's  Aneurism  Needles,  one  pair  straight  Scissors,  one  pair  angular  Scissors,  one  pair 
Dressing  Forceps,  one  pair  fine  Thumb  Forceps,  one  pair  fenestrated  Artery  Forceps,  one  pair 
Front's  Needle-Forceps,  one  Hydrocele  Trocar,  one  Exploring  Trocar,  one  German  Silver  Di- 
rector, one  pair  Silver  Probes,  Needles,  Silk,  Silver  Wire. 

Mahogany  or  Rosewood  Case,  lined  with  oil-dyed  silk  velvet $44.00 

P.  A.  Stohlmann.  Edward  Pfarre. 


60 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


MINOE  OPEEATING. 

Fig.  175. — Four  Bladed  Spring-catch  Pocket  Instrument. 


M 


Fig.  175 J. — Gay's  Open  Ring  Scissors. 


Fig. 


176.— Two  Bladed  Spring-catch 
Pocket  Instruments. 


P.  A.  Stohlmanu. 


Edward  Pfarre. 


Part  I. 
67   CHATHAM-STREET,   NEW-YORK. 

Fia.  177.     Scalpel  and  Probe-pointed  Bistouric 


61 


Fig.  178.     Silver  Probes. 


G.  TIEMANN  &   CO. 


Fig.  179.     Tenaculum  and        Fig.  180.     Post's  and  Buck's 
Gum  Lancet.  Needles. 


Fig.  181.     Sharp-pointed 
Bistourie  and  Tenotome 


Fig.  182.  .  Director  and  Aneurism  Needle. 


Fig.  183.     Port  mecbe. 

G.  TIEMANN  &  CO. 

Fig.  184.     Director  and  Tongue  Tie. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


62 


Pakt  I. 
GEO.  TIEMANN"  &  CO.'S  SURGICAL  INSTRUMENTS, 


MmoE  oPEEATma. 

EiG.  185. — Tiemann  &  Co.'s  Putent-Catcli  Pocket  Set. 


ri^-^ 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STKEET,  NEW  YORK. 


63 


SUTUEE   NEEDLES. 

Fig.  186. — Stimson's  Needle  Holder  and  Cutting  Forceps. 


Fia.  188.— Fiill  Cnrve  Suture  Needles. 

a       b        c       d      e      f      g 


Fig.  189.— Half  Curve  Suture  Needles. 
a        b        G        defy 


Satin  Sewing  Silk,  page  16. 


Fig.  190.— Wire  Suture  Needles. 
a        b       c       d      e      f     g 


F.  A.  Stohlmanu. 


PER  COIL. 

Silver  Wire  for  Sutures $0.50 

Iron,  annealed ,  - 02 

Price  of  Needles. 

EACH. 

Full  Curve,  any  size ' $0.10 

Half  Curve,  any  size 10 

Straight  flat  Needles 10 

Wire  Suture  Needle,  triangular 05 

Fine  Suture  Needles  for  operations  on  the  Eyes  and 

Lids,  straight  or  curved 15 

Sim's  Needles  for  Vesico-Vaginal  Fistula 15 

Bozeman's  Needles  for  Vesico-Vaginal  Fistula 40 

Emmett's  Needles  for  Vesico-Vaginal  Fistula 15 

Stohlmann's  Wire  Needle 50 

Greenville  Dowell's  Needle  for  Hernia 75 

Shrady's  open-eyed  Needle 25 

Piatt's  open-eyed  Needle 25 

Edward  Pfarre. 


64 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


CUPPING. 

Fig.  191.— Tiemaiui  &  Co.'s  Patent  Scarificator. 


Fig.  193. 
Ten-Bladed  Scarificator. 


Fig.  193. 
Glass  and  Rubber  Cup. 


^tiemanm3j 


m 


Fig.  194. 
Twelve-Bladed  Scarificator. 


Fig.  195. — Cupping  Pump,  Stopcoclc  and  Cup. 


Dry  Cupping,  page  113,  Pakt  IV. 


No.   1.    CUPPIlSrG  SET. 

Contains  :     One  Brass  Cupping  Pump,  three  Stopcoclcs,  three  Glass  Cups,  one  Ten-BIaded 
Scarificator,  one  Mahogany  or  Black  Walnut  Case,  lined  with  velvet .$13.00 

Kg.  2.    CUPPING-  SET. 

Contains  :     One   Brass   Cupping   Pump,   three    Stopcoclvs,   six    Glass  Cups,  one   Twelve- 
Bladed  Scarificator,  one  Mahogany  or  Black  Walnut  Case  lined  witli  velvet $15.00 

No    1.   Without  Scarificator ". $9.00 

No.  2.  'Without  Scarificator 10.50 

Also,  Breast  Pumps. 

P.  A.  Stohlmann.  Edward  Pfarre. 


Pakt  I. 
67  CHATHAM   STREET,  NEW  YORKo 


65 


LEEOHINa. 

Fig.  196. — Tieniaiin  &  Co.'s  Pulcnt  Arilficiul    Loech. 


The  principal  feature  is  the  employment  of  light  glass  tubes,  from  which  the  air  is  expelled 
by  the  vapor  of  ether,  and  which  imitate  very  closely  the  suction  of  the  natural  leech  as  the 
vapor  within  them  condenses. 

To  expel  the  air  from  a  tube,  a  few  drops  of  ether  are  poured  into  it,  and  it  is  then  immersed 
as  far  as  the  mouth  in  hot  water  until  the  ether  boils  briskly.  The  mouth  of  the  tube  is  then  ap- 
plied to  the  skin,  and  held  for  an  instant,  when  it  will  be  found  to  be  firmly  attached,  and  can 
be  left  to  itself.  Each  tube  will  draw  about  two  drachms  of  Ijlood.  For  uterine  practice  they 
are  made  long  enough  to  be  applied  through  a  speculum. 

The  scarifier  is  simply  a  tube  |-  inch  in  diameter,  straight  or  curved,  having  a  cutting  edge 
at  one  extremity.  By  a  simple  device  this  is  made  to  rotate  rapidly,  making,  when  applied  to 
the  skin,  a  circular  incision,  the  depth  of  which  is  regulated  by  a  gauge. 

In  the  cut  (a)  represents  the  button,  by  turning  which  the  instrument  is  wound  up,  (d)  the 
trigger,  by  which  the  spring  is  released,  (c)  the  cutting  edge,  and  (b)  the  gauge  for  regulating  the 
depth  of  the  incision.. 

The  tubes  for  general  use  have  the  mouth  on  the  side,  but  some  are  made  straight,  as  more 
convenient  of  application  in  certain  cases.  The  entire  apparatus,  including  half-a-dozen  tubes 
and  a  vial  for  ether,  is  contained  in  a  small  case  adapted  for  the  pocket.    Price $7.00 


Fig.  197. — Heurteloup's  Artificial  Leech. 


The  Scarifier  has  a  circular  cutter,  passing  through  the  centre  of  the  Shaft  ;  the  depth  of 
the  cut  is  regulated  and  set  by  a  thumb-screw.  The  motive  power  is  a  watch-spring,  which 
after  having  been  wound  up,  is  set  off  by  a  trigger.  After  making  the  incision  the  blood  is 
drawn  by  the  pump,  consisting  of  a  glass  barrel  and  a  piston,  with  a  screw  arrangement  to  fix 
it  when  drawn  up. 

One  Glass  Pump  and  Cutter,  contained  in  a  neat  Morocco  Case $8.00 


Reese's  Artificial  Leech.    Fig.  8,  Supplement. 


F.  A.  Stohlmaun. 


Edward  Pfarre. 


Part  I. 
66  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


Fig.  198. 
Plain  Spring  Lancet. 


PHLEBOTOMY. 

Fig.  199. 
Tiemann  &  Go's 
Spring  Lancet. 


Fig.  200. 
Button  Trigger 
Spring  Lancet. 


Thumb  Lancets,  page  56. 


COUNTEE  IREITATIOK 

Fig.  201. — Baunscbeidt's  Lebenswecker. 
(Baunscheidt's  Oil  always  ou  hand.) 


Jf-l 


VAOOINATING. 

Fig.  202. — Tiemann  &  Go's  Vaccinating  Scarificator 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


67 


TEANSFUSION. 

Fig.  210. — Aveling's  Apparatus  for  Immediate  Transfusion. 


In  Paper  Case $4.50 

With  one  Scalpel  and  one  pair  of  Forceps,  put  up  in  a  neat  Morocco  Case. . .   8.00 


MODE   OF   OPERATION. 

First  place  the  Apparatus  in  a  basin  of  tepid  water,  and  while  completely  under  the  water, 
to  fill  it  and  ensure  its  cleanliness,  compress  the  bulb  until  the  air  is  expelled. 

The  patient  having  been  brought  to  the  side  of  the  bed,  and  the  arm  bared,  a  fold  of  sl^in 
over  a  vein,  at  the  bend  of  the  arm  should  be  raised,  transfixed  and  divided.  The  flattened 
vein  now  brought  into  view,  should  be  seized  with  a  pair  of  fine  forceps,  raised  while  an  incis- 
ion is  made  in  it,  and  the  bevel-pointed  silver  tube  inserted.  In  taking  this  tube  out  of  the 
basin,  it  should  be  kept  full  of  water,  by  placing  the  tip  of  the  thumb  over  its  larger  opening. 
While  the  operator  is  doing  this  an  assistant  should  prepare  the  arm  of  the  blood-donor,  as  in 
ordinary  bleeding,  making  an  incision  direct  into  the  vein,  and  passing  the  round  pointed  tube 
into  it,  with  its  point  towards  the  fingers.  This  person  should  then  be  brought  to  the  bed-side 
of  the  patient,  and  seated  in  a  chair.  It  is  better  not  to  secure  the  tubes  in  the  veins  by  liga- 
tures. B  represents  the  hand  of  an  assistant  holding  the  efferent  tube  and  the  lips  of  the  small 
wound  together,  and  A  shows  the  afferent  tube  secured  in  the  same  manner.  The  india-rubber 
portion  of  the  apparatus,  filled  with  water,  and  kept  so  by  turning  the  cock  at  each  end  of  it, 
is  now  fitted  into  the  two  tubes.  The  cocks  are  then  turned  straight,  and  the  operation  com- 
menced by  compressing  the  india-rubber  tube  on  the  efferent  side  D,  and  squeezing  the  bulb  C ; 
this  forces  two  drachms  of  water  into  the  afferent  vein.  Next  shift  tlie  hand  D  to  D,  and  com- 
press the  tube  on  the  afferent  side,  then  allow  the  tube  to  expand  slowly  when  blood  will  be 
drawn  into  it  from  the  efferent  vein.  By  repeating  this  process  any  quantity  of  blood  can,  at 
any  rate,  be  transmitted,  the  amount  being  measured  by  counting  the  number  of  times  the  bulb 
is  emptied. 

The  advantages  of  this  method  of  transfusing  blood  are  : 

1st.  The  chances  of  coagulation  are  small,  because  the  blood  is  removed  from  the  action  of 
the  living  vessels  for  only  a  few  seconds,  and  glides  smoothly  through  the  india-rubber  pipe 
without  being  exposed  to  the  air. 

3d.  The  apparatus  is  effective,  simple,  portable,  inexpensive  and  not  likely  to  get  out  of 
order. 

3d.     The  operation  is  safe,  easy,  uninterrupted,  and  a  close  imitation  of  nature. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


68 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRTOIENTS, 


TEANSFUSION. 

Fig.  211. — Fiyer's  Transfusion  Apparatus. 
Price $6.50. 


(Extracted  from  the  Medical  Record,  April  15,  1874.) 

A  few  remarks  on  the  Transfusion  of  Blood,  with  a  modification  of  the  Appara- 
tus of  Aveling-. 
By  B.  E.  TKiEU,  M.  D.,  Surgeou  U.  S.  Army. 

To  .sliOTv  that  the  subject  of  transfusion  is  one  which  a  large  portion  of  the  profession  has  not  yet  fully 
■n-eigliL'd  the  importance  of,  nor  realized  the  fact  that  this  measure  can  frequently  ho  mailc  apiilicalilc'in  cases 
■niiicli  are  now  quietly  otherwise  yielded  to  death,  we  have  onlj-  to  call  fittenti()n  to  tlic  laiity  of  reiiortcil  in- 
stances in  which  the  operation  has  been  taken  advantage  of,  and  refer  to  the  many  obvious  om-s  in  whicli  it 
should  be  made  available.  Even  in  threatening  dissolutioii  from  the  direct  loss  of  blood,— sucli  as  from  \v<miiils 
of  large  vessels,  from  prolonged  epistaxis,  or,  iu'probably  one  of  the  most  frequent  opjiortnuiticN  met  wirh,  fioin 
hemoiTage,  post-partum,  where  the  restoration  of  blood  by  transfusion  has  been,  so  to  say.  legitimatized — but  few 
of  us  are  iireiiayed  for  the  emei'gency,  or  if  prepareil,  do  ]u'(>mptly  act  and  give  the  then  alnrist  only  chance  of  life. 

"We  will  biicfly  state  the  kind  of  cases  in  which  it  has  occuiicd  to  us'that  transfusion  should  be  had  recourse 
to  without  hesitation,  and  they  may  be  conveniently  noted  under  two  heads. 

We  would  include  in  the  first  class  those  cases  in'  which  a  copious  blood-loss  has  occurred  and  iuimediate  death 
is  threatened.  As  is  well  known,  it  is  in  these  mainly  that  the  measure  lias  lieen  applied.  It  niiglit  well  be  tried 
in  cases  of  injury  accompanied  by  a  more  moderate  hemorrage,  and  where  it  i.s  necessary  to  do  an  important  sur- 
gical o]ieration,  and  this  operation  is  delayed  (often  disastrously)  for  a  reaction  by  oi  iliuary  meaus.  Moreover, 
it  slioubl  lie  done  before  or  after  necessary  surgical  measures  in  the  asthenic  patieiits,  in  oriler  to  avoid  pyajmia 
and  its  allied  evils,  especially  in  operatioiis  wliere  the  peritoneum  is  involved.  After  labor,  too.  where  hemorr- 
age may  have  been  great,  but  not  enough  to  threaten  immediate  death,  it  should  be  ilone  to  avoid  septicainic 
ditliculties.  For  that  depression  from  the  loss  of  blood,  &c.,  is  a  most  direct  cause  of  pya-mia  and  its  iiatliologi- 
cal  associates,  those  of  us  who  have  had  to  treat  large  numbers  of  gunshot  and  other  injuries,  aud  to  operate  in 
these  cases,  wherehemorrage  and  other  depressing  causes  had  done  sad  havoc,  well  know. 

But  we  have  in  the  second  class  a  larger  number  of  cases — diseases  both  acitte  and  chronic — and  here  we 
more  commonly  meet  with  opportunities.  In  such,  transfusion  has  scarcely  been  thought  of;  but  it  is  in  these, 
too,  it  ought  to  be_.  and  will  be,  we  think,  taken  advantage  of.  Of  the  acute  cases  we  refer  to,  those  in  which 
natural  nutrition  is  for  the  time  suspended,  either  from  a  direct  lesion  of  the  blood-making  system  in  one  or  more 
-of  its  di'\'isions,  or  is  indirectly  atfected  in  consequence  of  some  profound  systemic  impression,  where  if  we  can 
but  bridge  over  a  short  period  by  keeping  life's  machinery  going,  we  nwy  tiltimatidy  bring  about  a  restorati(m  of 
the  healthy  nutrition  process,  and  thus  save  life.  To  particularize  :  acute  gastric  troubles,  giving  excessive  and 
continuous  vomiting;  acute  diarrlnsas  and  dysenteries;  in  peritoneal  iuliamniatiotis,  in  some  of  the  low 
forms  of  fevers  where  waste  is  excessive  and  the  absorjition  of  nourislnuent  nil.  In  cliohua  it  should  be  doue 
moT-e  generally  than  it  has  been.  It  might  be  tried,  too,  in  some  of  the  acute  diseases  of  youug  ehildicn,  ])articu- 
larly  in  those  wliieh  give  convulsive  movements  ami ccmvulsions  ]iroper.  and  which  often  indicati' to  us  dimin- 
ished blond-supply  to  tlie  brain,  and  tell  us  that  death  may  come  before  the  return  of  the  parural  food  absorption 
can  again  i)ut  the  nerve-centres  tjnirth/  at  work. 

In  chronic  cases  where  tlie  blocid-makiug  is  reduced  or  nearly  destroyed,  we  mi.ght  often  prolong  life  by 
transfusion.  Such  cases  are  not  frequent,  though  we  need  not  eiiumerate  them.  Wo  might  well  apply  the 
measure  even  in  some  cases  of  phthisis  iiulmonalis. 

In  regard  to  the  fluid  to  ho  transfused.  As  is  well  kno^vn,  human  blood  is  that  to  be  most  desired,  after  this 
the  blood  of  some  of  the  lower  animals  may  be  selected.  Dr.  Hodder,  of  Canada,  threw  into  the  veins  of  some  of 
his  cholera  jiatients  fresh  milk,  and  with  (".K<'(d]ent  restilts.  The  writer  has  exiierimeuted  with  milk  injections 
in  the  veins  of  do^s,  and  though  tlu^  expi'riments  have  not  been  completed  as  to  a.  test  of  the  nourishing  i-ffects  of 
the  milk  so  niven.  no  liad  symptoms  have  become  a]ip,ai'ent.  If  it  can  be  satisfact(uilv  ])roveil,  that  milk  may  be 
■safely  aud  generally  used  in  transfusion,  and  witli  the  desired  result .  a  iireat  aihance'will  !»■,  made  in  the  matter, 
it  bein^  nearly  always  olitainable,  while  many  of  the  diiHculties  aud  ineouvenienees  in  the  use  of  blood  will  be 
avoided.  _  A  saline  .solution  (such  as  that  of  Mr.  Little-)  should  be  tried  to  saxc  life,  if  nothing  else  is  at  hand. 

The  instruments  for  transfusion  are,  as  is  well  known,  quite  numeious.  and  wliile  many  of  them  are  very 
good,  we  believe  that  of  Aveling,  for  inniiediate  transfusion,  to  be  probably  the  sinqdest.  safest,  and  mo.st  easy 
of  aiijilieation.  We  have  lately  m<iditied  it  by  adding  another  bulb  to  tlie  tube,  and  by  having  both  tube  and 
bulbs  east  of  the  rubljer  into  one  jiiece.  By  the  additional  bulb  we  can  save  time  in  doinn  the  operation,  aud  can 
kee]i  the  blood  moving  alouLi'the  tulie  almo.st  continuously.  In  having  the  tube  and  bulbs  in  one,  we  do  away 
with  the  metal  ]>ortiou  which  couples  them  iu  Avoling's  apparatus,  and  we  thereby  diminish  the  risk  of  blood 

composed  of  chloride  of  sodium,  60  grs. ;  cliloride  of  potassium,  6  grs  ;  phospli^te  of  soda,  3  grs. ;  carbonate  of  soda,  20 


*  Mr.  Little's  solutii 
.  ;  -water,  20  ouuccs. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK:. 


69 


TEANSFUSION. 


lodging  and  coagulating;  -wliilo  wo  can,  if  necessary,  compress  the  whole  apparatus  more  completely.  As  in 
Dr.  Aveling's  iiistriiinciit,  lliciv  inv  no  \:i1vch.  Tlio  inner  wall  of  the  whole  apiiai'atus  is  perfectly  sniootb,  and 
we  have  liad  Ihe  (>|icniui;  ridiii  liihe  to  buHis  made  a  gradual  )jloi)e,  thua  altogetlier  doing  away  with  corners  in 
which  the  blood  niiiiht  lie  iiiicslcd  and  form  a  clot. 

The  instruniciit  of  Av<liog  is  intruded  for  immediate  transfusion.  "Wo  have  added  a  glass  vessel  winch  can 
be  fitted  to  (lie  tulii',  and  the  whole  then  used  as  a  mediate  trausfuser  if  desired.  The  acoompauying  cut  gives  a 
good  representation  of  the  a]>|iarati[,s. 

The  manner  of  using  the  instriiiiK.nt  is  very  similar  to  Aveling's.  The  canula  marked  Ji  is  placed  in  the 
giver's  vein,  tliat  niai-l<ed  6'  in  tlie  vein  of  the  receiver.  The  tube  and  bull)S  having  been  tilh',d  with  warm  water, 
or  bett<'r,  with  Mr.  Little's  Hiiliiu'  solution  (also  warm),  are  now  adjusted  to  the  caiuihe  anil  the  blood  allowed  to 
flow  into  the  iipi)aratas.  Tlie  eaniila  being  steadied  by  an  assistant,  thi>  tulie  is  t(j  be  i]i],|ied  tightlv  between  the 
lingers,  close  to  the  giver's  or  etfeivnt  end.  and  then  the  linlbniaikeil  1  is  to  be  (■(iiii|nissed,  and  tlie  Idood  of  course 
forced  on  towards  the  receiver.  W'liih^  this  liulb  is  still  held  c()ni])ressed,  thi'  tiilie  at  the,  giver's  side  is  tf)  be  re- 
laxed, and  that  ])ortion  of  it  between  the  bulbs  is  to  lie  ]iip|ie(l ;  bnlli  1  is  rela^ceil.  ami  Xo.  2'eompressed  and  lield  ; 
then  the  tube  at  the  receiver's  side  is  to  be  seized  ainl  ladd  to  ] ii-e\-en I  legurgitation,  and  the  whole  apparatus 
allowed  to  refill.  The  same  ojieration  to  be  repeated  till  sulHcient  blood  is  transfused.  Assugu;ested  h.v  Dr. 
Aveliug,  a  few  drops  of  ammonia  sidution  may  be  injected  into  the  bulbs  now  ami  then,  by  a  fine  pointed  h.ypo- 
dennic  syringe,  in  order  to  more  efl'eetuallv  prevent  coagulation.  It  will  bo  found  that  considerable  force  is 
necessary  in  sending  blood  or  other  fluids  into  the  veins.  This  we  discovered  while  doing  transfusion  twice  in  a 
case  after  hemorrage  from  gun.shot  injury,  and  we  have  also  found  it  in  our  experimenis  on  tln'  lower  animals. 
It  is  a  fact  that  we  have  not  seen  noted  in  connection  with  transfnsion,  and  one  well  wort  h  icinembeiing. 

In  order  to  use  the  apparatus  as  a  mediate  transfuser,  the  vess(d  marked  A  in  tlie  cut  receives  the  blood,  the 
tube  is  to  be  ayiplied,  and  the  instrument  used  as  before  directed.  If  the  blood  is  not  iletiluinated  and  strained, 
three  or  four  drops  of  ammonia  solution  to  each  ounce  are  added,  in  order  to  avoid  coagulation. 

The  in.strument  is  made  by  Messrs.  Geokge  Tiemann  &  Co.,  67  Chatham  Street.  Kew  York. 

"We  would  suggest  to  those  who  may  become  interested  in  transfusion,  that  though  the  operation  is  a  simple 
one,  it  requires  care,  and  it  should  first  be  practised  once  or  twice  on  the  lower  animals;  no  dilficulty  will  then 
be  had  in  doing  it  on  man  when  occasion  requires. 


EiG.  212. — GarrigLie's  Mediate  Transfusion  Apparatus. 
Price.  ...$4.00. 


Draw  eight  or  ten  oitnces  of  blood  from  a  healthy  person  into  a  clean 
vessel,  Avhilst  it  is  accumulating  whip  it  with  a  silver  fork,  a  stick  of  wood  or  a 
bunch  of  straw,  then  strain  it  through  a  piece  of  cleanly  washed  linen  into  a 
vessel  placed  within  another  containing  warm  water  (about  105  C.)  "Warm 
the  syringe,  put  the  suction  end  A  into  the  blood,  compress  the  bulb,  and  when- 
it  flows  through  the  canitla,  turn  the  stopcock  C. 

Having  bared  the  patient's  arm,  raise  a  fold  of  skin  over  a  vein  at  the  bend 
of  the  elbow,  divide  it  and  pass  a  probe  or  thread  under  the  vein  thus  brought 
into  view.  This  is  now  held  with  a  pair  of  forceps  or  tenaculum  and  an  in- 
cision made  with  a  lancet  or  j^air  of  fine  pointed  scissors,  carefully  avoiding  to 
wound  its  posterior  wall.  Now  introduce  the  canula  D,  open  the  stopcock  and 
inject  slowly. 

The  bulb  contains  about  three  fluid  drachms,  but  by  moderate  compression 
about  two  only  are  expelled.  In  most  cases  it  suflices  to  inject  from  four  to  six 
ounces.  If  resistance,  not  due  to  external  j^ressure  be  felt,  or  dyspnoea,  or  any 
other  untoward  symptom  appear,  the  operation  has  to  be  interrupted  or  ended. 
Dress  the  wound  as  after  phlebotomy. 

After  use,  the  instrument  must  be  thoroughly  cleansed,  which  is  best  done 
by  separating  all  the  parts  and  washing  them  in  wann  water. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  I. 
GEO.  TIEMAjSTX  &  CO.'S  SURGICAL  INSTRUMENTS, 


HYPODERMIC  MEDICATION. 

Ftc.  213. — ITypodormic  Syringe.     No.  0. 


Graduated  Glass  Barrel,  with  Fenestrated  Metal  Guard,  2  steel  Needles  attachable  by  Screw 
or  Slide. 

With  A'ial  and  Wires  for  cleaning  the  Needles,  in  a  neat  Morocco  Case $3.00 


EiG.  214. — Hj'podermic  Syringe.    No.  1. 


Graduated  Glass  Barrel,  with  Bi-Fenestrated  Metal  Guard,  2  Needles  attachable  by  Slide  or 
Screw,  made  of  tempered  cast  steel,  nickel-plated,  and  much  finer  than  those  usually  employed 
an  advantage  in  lessening  pain  on  the  introduction  of  the  same. 

"With  Yial  and  Wires,  in  a  neat  Morocco  Case $4.00 


Fig.  215. — Hypodermic  Syringe.    No.  2. 


Graduated  Piston,  Hard  Rubber  Barrel,  2  steel  nickel-plated  Needles  attachable  by  Slide  or 
Screw. 

With  Vial  and  Wires  for  cleaning  the  Needles,  in  a  neat  Morocco  Case $0.00 


Fig.  216. — Hypodermic  Syringe.    No.  3. 


Graduated  Piston,  Glass  Barrel,  2  fine  steel  nickel-plated  Needles  attachable  by  Screw  or 
Slide. 

With  Vial  and  Wires  for  cleaning  the  Needles,  in  a  neat  Morocco  Case $2.50 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CTIATIIAM  STREET,  NEW  YORK. 


71 


HYPODERMIC  MEDICATION. 

Fig.  217. — Hypodermic  Syringe.     No.  4. 

Graduated  Glass  Barrel,  smootli  Piston  Rod,  2  fine  steel  nickel-plated  Needles  attachable  by 
Screw  or  Slide. 

With  Vial  and  Wires  for  cleaning  the  Needles,  in  a  neat  Morocco  Case |2.o0 

Hypodermic  Syringe.     No.  5. 


Graduated  Glass  Barrel  with  Screw  Piston,  2  fine  steel  nickel-plated  Needles  attachable  by 
Screw  or  Slide. 

With  Vial  and  Wires  for  cleaning  the  Needles,  in  a  neat  Morocco  Case $3.00 

Fig.  218. — Stimson's  Hypodermic  Syringe.    No.  6. 


.  IlEMANN~Cb 


The  accompanying  cut  represents  a  convenient  form  of  hypodermic  syringe,  to  be  carried 
in  the  pocket-case.  The  point,  inclosing  the  wire  cleaner,  fits  into  a  hollow  graduated  piston. 
The  barrel  is  an  ordinary  silver  tube,  the  size  of  a  No.  10  catheter,  and  is  about  three  inches  long. 

Price $3.00 


Fig.  219. — Vance's  Hypodermic  Syringe.    No.  7. 


Two  Gold  (14  carats)  Needles,  a  small  bottle  with  a  glass  stopper  (retained  by  a  metallic 
shield,)  and  a  small  wire. 

In  a  neat  Morocco  Case $4.50 

Morocco  Hypodermic  Syringe  Cases each,  $0.^0 

Metal,  nickel-plated  Hypodermic  Syringe  Cases,  to  fit  Nos.  1,  3,  4  and  5  Syringes,     "  .73 


P.  A.  Stohlmann. 


Edward  Pfarre. 


72 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


HYPODEEMIC  MEDICATION. 

Greene's  Hj'podermic  Case. 

It  contains  four  four-draclim  vials,  and  five  two-drachm  vials,  which  each  physician  can  fill 
to  suit  his  fancy  or  requirements  ;  a  double  fenestrated  hypodermic  syringe  (No.  1,  page  70), 
and  three  points  or  needles,  all  of  the  most  improved  pattern.  They  are  of  diffei-ent  sizes:  one, 
the  smallest  and  most  delicate  ever  manufactured  in  the  world,  another,  a  size  larger,  and  the 
third  one  of  the  ordinary  size  and  make.  Wires  for  keeping  them  clean  and  open,  a  small  hone 
or  stone  of  the  finest  quality  for  sharpening  the  points,  a  twenty-four  minim  glass  measure  per- 
fectly exact,  a  Self-Registering  Pocket  Thermometer,  very  superior,  contained  in  a  neat  vulcan- 
ized rubber  case,  and  warranted  perfectly  correct.  And  last  but  not  least,  contains  a  thumb- 
lancet,  also  of  the  best  manufacture. 

Price  of  complete  Case $12.00 


Fig.  220. — Geo.  Tiemann  &  Co.'s  Patent  Hollow  Piston  Hypodermic  Syringe, 
with  a  Gold  Needle.    No.  8. 


The  larger  cut  shows  the  instrument  closed  ;  the  other  one,  the  same  syringe,  barrel  filled 
and  needle  mounted  on  the  end  of  the  piston  (ready  for  use),  and  the  cap,  to  cover  the  instru- 
ment. The  barrel  of  this  syringe  is  of  glass,  graduated,  and  is  protected  by  a  German  silver  or 
nickel-plated  fenestrated  case.  It  is  very  compact,  and  may  be  conveniently  carried  in  t!:G  vc::t 
pocket.  For  this  purpose  the  needle  is  unscrewed  and  put,  point  foremost,  into  the  cavity  of 
the  piston  ;  this  is  pushed  home  and  the  cap  screwed  on.  In  this  way,  it  is  perfectly  protected 
from  harm,  and  very  portable. 

Price .$3.50 


Fig.  221. — Extra  Needles  for  Hypodermic  Syringes. 


r,. TIEMANN  ^  CO 


Gold $1.00 

Steel 50 

Steel,  gilt 75 

Steel,  nickel-plated 65 

Needles  made  of  Gold  do  not  oxydize,  but  will  not  take  a  good  edge  nor  keep  it  long. 
Steel  Needles  pierce  best,  but  are  apt  to  rust  if  not  properly  taken  care  of. 

Steel  Needles,  gilt,  are  compartively  rust-proof. 

The  Steel  nickel-plated  Needles  answer  as  well  as  any  others,  and  are  even  preferred  by  some. 

In  ordering  extra  Needles,  please  state  which  of  the  above  you  desire,  and  how  the  attach- 
ment to  the  syringe  is  to  be  effected — i.  e.,  by  sc7'ew  or  slide  f 

^^  If  3'ou  desire  Needles  for  syringes  not  of  our  manufacture,  it  is  necessary  to  send  your 
syringe  to  fit  them. 


r.  A.  Stohlmann. 


Edward  Pfarre. 


Paut  r. 

67  CHATHAM  STREET,  NEW  YORK. 


73 


HYPODEEMIO  MEDICATION. 

Fig,  222. — Geo.  Tiemann  &  Co.'s  Hypodermic  Hyringe  Bottle. 
Patented  October  9th,  1877. 

Great  inconvenience  is  often  experienced  iiv  filling  a  hypodermic  syrin.!.;e  from  tlie  ordinary 
bottle,  because  of  its  narrow  neck  and  its  liability  to  upset. 

The  narrow  neck  prevents  tlie  insertion  of  the  end  of  the  syringe,  or,  if  the  syringe  is  screwed 
upon  the  bottle,  a  partial  vacuum  is  liable  to  be  formed,  so  that  the  piston  returns  when  re- 
leased and  often  some  of  the  fluid  re-enters  the  bottle.  The  liability  to  spill  the  contents  of  the 
bottle  is  increased  by  the  fact  that  it  has  to  be  removed  from  the  case  and  stood  upright. 


All  these  difficulties  are  overcome  by  the  above  improvement,  the  bottle  having  the  mouth 
at  a  right  angle  to  its  body  and  made  sufficiently  large  to  admit  the  nozzle  end  of  the  sj^ringe. 
It  need  not  be  removed  from  the  case  for  the  purpose  of  charging  the  syringe.  You  merely 
turn  the  neck  upward,  remove  the  stopper,  insert  the  syringe  into  the  fluid,  and  draw  upon  the 
piston  until  the  desired  quantity  of  medicine  has  entered  the  barrel.  The  case  is  made  to  hold 
the  bottle  tightly  in  any  position,  so  that  both  may  be  left  on  the  table  during  the  operation, 
without  fearing  for  the  safety  of  the  glass  or  its  contents. 

After  having  operated  and  replaced  the  needle  and  syringe  in  the  case,  the  bottle  is  corked 
and  turned  back  to  its  former  position. 

Price §0.25 

When  desired  with  Kos.  0,  1,  2,  3,  4,  5  Hypodermic  Syringes,  no  extra  charge  is  made. 


REPAIRING    HYPODERMIC    SYRINGES. 

If  your  glass  cylinder  is  broken,  and  you  want  a  ncAv  one,  always  send  us  your  fittings. 

If  any  other  part  of  the  syringe  is  wanted,  send  what  you  have  left,  and  it  will  be  easy  to 
supply  the  missing  portions. 

dt^"  To  prevent  confusion  and  loss,  parties  sending  parcels  to  us  are  requested  to  enclose  ilieir 
card  in  the  same,  as  otherwise  they  cannot  be  identified. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


74 


Part  I. 
GEO.  TIEMAKN"  &  CO.'S  SURGICAL  INSTRUMENTS, 


HYPODEEMIO    MEDICATION. 

Fig.  233. — Pinkliam's  Graduated  Measure. 

For  making  solution,  especially  of  morphia,  at  the  time  of  using  it,  it  is 
found  most  convenient  to  carry  powders  of  the  sulphate  of  morphia,  contain- 
ing half  a  grain  of  each.  One  of  these  is  placed  in  the  glass  and  twenty  minims 
of  w^arm  water  are  thrown  upon  it  from  the  syringe.  If  the  powder  remains 
undissolved,  the  contents  of  the  glass  can  be  taken  in  the  syringe,  and  thrown 
back  repeatedly  until  a  perfect  solution  is  obtained. 

The  glass  is  so  graduated  (see  wood-cut)  that  any  desired  portion  of  its 
contents  can  be  easily  determined  and  taken  up  for  use. 

Price $0.50 


Fig.  324.— Tiemann  &  Co.'s  Air-tight  Hypodermic  Bottle. 


A  small  graduated  glass  bottle  is  so  arranged  that  it  is  hermetically  sealed  by  means  of  a 
hard  rubber  stopper.  When  you  wish  to  fill  the  syringe  the  nozzle  is  placed  in  the  side  hole  of 
the  stopper,  the  glass  is  then  turned  up  and  rotated  until  it  stops.  Communication  between  the 
syringe  and  bottle  is  now  open.  Draw  the  piston  back  and  the  liquid  follows,  without  any  ad- 
mixture of  air.  Turn  the  glass  back  again  and  the  bottle  is  hermetically  closed.  To  fill  the 
bottle,  turn  the  stopper  half-way  round,  and  there  being  a  slot  or  indentation,  it  is  easily  pulled 
out.     Bottles  arranged  for  the  sliding  or  for  the  screw  syringes,  as  may  be  desired. 

Price $0.75 


DIAGNOSTIC. 

See  Index  for  the  following  : 

Endoscopes,  Laryngoscopes,  Otoscopes,  Ophthalmoscopes,  Probes,  Sounds,  Specula,  Anal, 
Aural,  Nasal,  Oral,  Ophthalmic,  Uterine,  Vaginal. 

CLINICAL    THERMOMETERS. 

(Extracted  from  "Lessons  in  Physical  Diagnosis"  by  Alfred  L.  Loomis,  M.  D.) 

The  thermometer  is  now  regarded  an  indispensable  mechanical  aid  in  the  diagnosis  of 
disease. 

I  prefer,  and  Avould  recommend  to  you,  the  straight,  self -registering,  clinical  thermometer,  re- 
presented in  Fig.  335,  No.  1. 

This  themiometer  consists  of  a  glass  stem  six  inches  in  length,  having  on  it  a  graduated  scale 
varying  from  85°  to  115°  Fahr.,  exhibiting  .5°  Fahr.  The  upper  extremity  of  the  stem  is  closed: 
at  the  lower  end  there  is  a  bulb  of  mercury  as  thick  as  the  diameter  of  the  stem.  Within  the 
stem  is  a  bit  of  mercury  detached  from  the  column  of  mercury  in  the  bidb  called  ths  index  : 
this  index  is  set  by  taking  the  bulb  and  stem  of  the  instrument  firmly  in  the  hand,  when,  by 
repeated  sudden  blows  of  the  waist  upon  the  knee,  the  index  is  brought  down  the  stem  to  a 
point  just  below  the  lines  which  indicate  the  degrees.  After  the  index  has  thus  been  set,  the 
bulb  of  the  instrament  may  be  applied  to  the  axilla,  between  tlie  thiglis,  in  the  mouth,  rectum  or 
vagina,  or  to  any  part  where  it  can  be  completely  covered.  Before  introducing  the  bulb  it  is  well 
to  hold  it  in  the  closed  hand  until  the  mercury  shows  ;i  temperature  of  98°.  Neglect  of  this 
precaution  is  apt  to  lead  to  an  under  statement  of  temperature.  When  the  instrument  has  been 
in  perfect  contact  with  the  parts  for  five  or  seven  minutes,  gently  remove  it,  and  the  top  of  the 
index  will  denote  the  maximum  temperature  of  the  part. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


75 


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Fig.  235. — fJlinical  Thermometfirs. 


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F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
76  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAGNOSTIC. 

Pig.  225. — Clinical  Thermometers. 


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F.  A.  Stohlmann. 


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Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


77 


DIAGNOSTIC. 

Fig.  220. — Apparatus  for  Urinary  Examinations. 


Flint's  Apparatus  for  Urinary  Examinations. 

Black  Walnut  Case  with  rings,  clamps,  &c $25.00 

12  Small  and  3  larger  labelled  bottles 14.50 

3  Small  plain  bottles,  not  labelled 48 


To  hold  the  following  Reagents, 

2  oz.  Nitric-acid $0.25 

2^02.  Hydrochloric-acid 23 

2  oz.  Acetic -acid 20 

2  oz.  Nitroso-nitric-acid 20 

2  oz.  Nitrate  of  silver  in  solution  (9.58  gr. 

in  an  ounce) 50 

2  oz.  Sulphate  of  copper  in  solution  (90.5 

,gr.  in  an  ounce) 35 

2  oz.  Neutral  tartrate  of  potash  in  solution 

(364  gr.  in  an  ounce) 50 

1  lb.  Solution  of  soda  (specific  grav.  1.12).     .65 

2  oz.  Liquor  potassse 20 

2^oz.  Liquor  ammonise 20 

2  oz.  Ether 25 

1  lb.  Mercury  (pure) 1-50 

1  lb.  Solution  of  hydrochlorite  of  soda. .   1.00 
1  lb.  Solution    of    chloride  of   sodium, 

(saturated) 35 

Tjitmus  paper,  red  and  blue  \  -^g 

Turmeric  paper S 

German  yeast,  in  cake 20 

Contents  op  the  Large  Drawer. 

1  Urinometer  (Fig.  228) $1.25 

1  Thermometer 1.50 

4  Porcelain  evaporating  dishes 1.50 


which  we  can  furnish  if  desired,  at  : 

2  Watch  glasses,  2  inches  diameter $0.20 

2  "  "        3       "  "        50 

.2         "  "        4      "  "        80 

1  Alcohol  lamp 75 

1  Burette  graduated  in  grains 1.98 

1  Plain  blowpipe 50 

Contents  op  the  Small  Drawer. 

3  Stirring  rods $0.45 

3  Drop  tubes 15 

2  Long  swabs  to  clean  out  the  Urea  tube,     .50 

2  Brushes 44 

1  Sis  ounce  graduated  glass 75 

1  One    "  "  "     50 

1  One  drachm     "  "     50 

4  Conical  glasses  with  porcelain  covers.  2. CO 
6  Test  tubes  and  stand  ( a  common  article 

less) 338 

3  Funnels  and  filtering  paper 1.50 

3  Flasks  and  wire  gauze   1.50 

1  Two  hundred  grain  measure CO 

1  Tube  graduated  in  cubic  inches 2.00 

1  Vessel  in  which  the  graduated  tube  can 

be  inverted 60 


Amount  for  the  Case  and  content?,      $70.45 


P.  A.  Stohlmann. 


Edward  Pfarre. 


78 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAGNOSTIC. 

APPARATUS    FOR    URINARY    EXAMINATIONS. 

Flint's  Extra  Apparatus. 

1  Hydrometer  of  Baume  for  liquids  lieavier  than  water $1.00 

1  One  thousand  grain  specitic  gravity  bottle 3.00 

1  Five  hundred      "  "  "  "     2.75 

1  One        "  "  "  "  "      2.50 

1  Water  bath 2.50 

1  Water  oven  for  drying  filters,  brass 8.00 

1  "        "        '■        •  "       tin 3.25 

2  Wash  bottles 2.00 

1  Delicate  balance  to  turn  -g^y  of  a  grain 11.00 

1  Blowpipe,  platinum  point 3.00 

1  Platinum  spoon  for  calculi 4.00 

12  Test  tubes  and  stand 3.38 

1  Book  of  colored  papers,  gummed,  for  recording  the  color  of  specimens 1.50 

1  Buusen  burner  and  6  feet  rubber  tubing 3.00 

Graduated  solution  of  Ohlorids  of  Barium  (36.6  grains  in  6  fluid  ounces  of  water)  for 

quantitative  analysis  of  the  sulphates 80 

Three  separate  solutions  for  quantitative  analysis  for  Phosphoric-acid : 
1st.  Sesquichloride  of  iron  ;  9.33   grains  of  iron  by  hydrogen  dissolved  in  hydrochloric 
with  a  little  nitric-acid  ;  evaporated  to  dryness,  and  dissolved  in  six  fluid  ounces 

of  water,  and  bottle 80 

2d.  400  grains  of  acetate  of  soda  and  800  grains  of  acetic-acid  dissolved  in  six  fluid  ounces 

of  water,  and  bottle 50 

3d.  12  grains  of  f  errocyanide  of  potassium  dissolved  in  six  fluid  ounces  of  water,  and  bottle,      50 


Fig.  227. 

Graduated 

Measure  Glass. 


Fig.  228. 
Urinometer 


Fig.  229.— Fehlich's  Flask, 

Bunsen  Burner  and 

Burette. 


Fig.  230. 
Urea  Tube. 


Full  directions  for  the  use  oi  this  and  other  apparatus  are  given  in  Professor  Flint's  work, 
Manual  of  Ohemicnl  Examination  of  the  Urine  in  Disease,  by  Austin  Flint,  Jr.,  M.  D.,  Professor 
of  Physiology  and  Microscopy  in  the  Bellevue  hospital  Medical  College,  &c.,  &c.  Also  in  A 
Guide  to  Unnary  Analysis,  for  the  use  of  Physicians  and  Students,  by  Henry  G.  Piflfard,  A.  M., 
M.  D.,  Physician  to  the  Charity  Hospital,  to  the  New  York  Dispensary  for  Diseases  of  the 
Skin,  &c.,  &c.  Also,  in  Lessons  in  Physical  Diagnosis,  by  Alfred  M.  Loomis,  M.  D.,  Professor  of 
the  Institutes  and  Practice  of  Medicine  in  the  Medical  Department  of  the  University  of  New 
York,  Physician  to  Bellevue  and  Charity  Hospitals,  &c.,  &c. 


F.  A.  Stohlraann. 


Edward  Pfarre. 


Pakt  I. 
67  CHATHAM  STREET,  NEW  YORK. 


79 


DIAaNOSTIO. 


Apparatus  for  UiitNARY  Examinations. 
Fig.  231.  Fia.  232. 

a.  Retort  Stand  ;   e.  JJuiisen  burner  ;  <*.  Piffard's  Measuring  Pipette; 

b.  Water  bath,  and  c.d.  Pillard's  Water  oven.  b.  Arrangement  for  Fermenta- 

tion Test. 


Fig.  233. 
Graduated  Tube 
11  /  y     for  Approximate 

■^''  Analysis, 


Fig.  234. 
a.  Molir's  Burette  ;  b.  Stand  ;  c.  Beaker. 


PrPFARD's  Apparatus  yon 


12  Test  tubes  and  stand , $2.00 

Spirit  lamp "  "     I75 

Bunsen  burner ......  3.50 

"  "       improved '        g'oo 

Jnnuels each,  .25  to  50 

Burette,  Mohr"s,  2U0  grains i^.OO 

"  "        200     "     glass  stop-cock 3.00 

"       Bink's  250     "  1(^7 

"        stand ..\^...V  2.00 

3  oz^^  Beakers each,    .10 

Gnttin's  beakers,  with  lips,  6 2  00 

Water  bath '  2.60 

Water  oven  attachment ..V..... .. .  \.50 

Retort  stand i.bO 

Eapid  filtering  apparatus b.QQ 


F.  A.  Stohlmann. 


Urinary  Examinations. 

Measuring  flask,  3000  grains Si. 50 

Flasks . . . .' each.  .15  to  25 

Urinometer i.oo 

Specific  gravity  bottle,  lOOOgrains 2.00 

Graduates,  2  oz each,    ..50 

"  6  oz "        .75 

Graduated  tubes  for  approximate  analysis 1.50 

Urea  tube... ' 2.00 

Filters,  German  and  Swedish,  assorted 75 

Litmus  paper,  blue  and  red. 25 

Measuring  pipettes 50 

Balance  (Becker's),  turning  =*;  grain 11.00 

Same  in  glass  case 22.00 

Weights  (accurate),  10  grains  to  g'^  grain , .   .  1.75 

"        best,  1000  grains  to  ^  gram 10.00 

Edward  Pfarre. 


80 


Pakt  I. 
GEO.  TIEMANN  &  CO.S  SURGICAL  INSTRUMENTS, 


DIAGNOSTIC. 

ArrAKATUS  for  Urtnaky  Examinations. 


Fig.  236.— Vance's  Urine  Test  Case. 

CONTENTS : 

2  Test  tubes  and  holder. 

1  Acid  bottle. 

1  Axilla  thermometer. 

1  Pair  brass  forceps. 

Red  and  blue  litmus  paper. 

In  a  neat  Morocco  Case $0.00 


Oi-miston's  Urine  Test  Case. 


A  small  brass  lamp  furnace  for  heating- 
water  bath,  test  tubes,  &c. 

A  small  gravimeter  for  taking  specifics 
gravities. 

A  thermometer  for  ascertaining  the  tem- 
perature of  urine  when  its  specific  gravity 
is  taken. 

A  conical  glass  for  collecting  deposits  from 
urine. 

A  pipette  Avitli  bulb  and  rubber  ball  for 
removing  supernatant  fluid  from  deposits. 


F.  A,  Stohlmann. 


A  Berlin  porcelain   crucible. 

Berlin  evaporating  dishes,  to  be  used  as  a 
water-bath  with  the  furnace,  and  for  other 
purposes. 

AVatch  glasses  and  test  tubes. 

A  test  tube  rack.     Test  papers. 

A  sm;dl  lialance. 

A  triangular  Avire  for  supporting  watch 
glasses  or  Berlin  capsules  for  evaporating  or 
drving. 

PriSe $17.00 


Fig.  237. — Roberts'  Urine  Test  Appara- 
tus (improved  by  Lewis). 

Consists  of  the  following  parts  : 

1  Set  Neubaur's  urinometers  with 
two  test  glasses. 

4  Urine  glasses. 
6  Test  tubes. 

1  Alcohol  lamp. 

5  Bottles  with  pure  reagents. 
1  Burette  with  holder. 

3  Pipettes  and  3  stirring  rods. 

I  Graduate. 

1  Flask  with  ring  support  for  same. 

Tlie  whole  on  a  revolving  etagere  of 
black  walnut, &c.,withprinted  descrip- 
tion  $35.00 

Edward  Pfarre. 


Pakt  I. 
67  CHATHAM   STREET,  NEW  YORK. 


81 


DIAaNOSTIO   (for  Mediate  Auscultation). 

Fm.  238.— Flexihlo  StcUioscopc. 


Fig.  239. — Hawksley's  Stethoscope. 


Fig.  240. — "Walsh's  Stethoscope.  (Dogwood.) 


Fig.  243.— Elliottson's  Stethoscope. 
Ivory  Ear  Piece  and  Pleximeter. 


1         41-      1 )  bell's  Ebony  Stethoscope. 


Fig.  245. — Cedar  Stethoscope. 
Hard  rubber  Ear  Piece. 


Fig.  246. — Loomis'  Stethoscope. 
With  rubber  ring  used  as  Pleximeter. 


Fig.  247. — Cedar,  Ivory  Mounted 
Stethoscope. 


Fig.  249. — Quain's  Telescopic  Stethoscope. 


Fig.  248. — BurroAv's  Stethoscope. 
Vulcanite  Ear  Piece. 


Fig.  250.— Short  Cedar 
Stethoscope. 


Fig.  251. — Arnold's  Flexible  Stethoscope. 


F.  A,  Stohlmann. 


Edward  Pfarre. 


82 


Part  I. 
GEO.  TIEMANN"  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAG-NOSTIO  (for  Mediate  Auscultation  and  Percussion). 

Fici.  253. — Martin's  Coml)inatioii  Stethoscope,  Percussor  and  Pleximeter. 

1^ 


Fig.  254. — Cammanii's  Cylindrical  Auscultator. 
Solid  Cedar. 


Fig.  255. — Cammann's  Intra-Costal 
Auscultator. 


Fig.  256. — Cedar  Stethoscope. 
Yulcanite  Ear  Piece. 


Fig.  257. — Ferguson's  Stethoscope. 


Fig.  259. — Rubber  Pleximeter. 


Fig.  258.— Glass  Pleximeter. 


Fig.  260. — Percussor  with  Whale- 

\\  bone  Stem. 


Fig.  261.— Gerne's 
Pleximeter. 


Fig.  263. — Winterich's  PeicusMon 
Hammer. 


Fig.  262.— Ivory 
Pleximeter. 


G.-\EN\ANN-CO 


Fig.  264.— Flint's  Pleximeter. 


Fig.  26G. — Canmianu's  Stethoscope  with  Snelling's  Rubber  Bell. 


"F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


DIAGNOSTIC  (for  Mediate  Auscultation  and  Percussion). 


Fig.  267. — Speir's  Echoscope  (to  intensify  sounds  produced  Ity  percussion). 


Fig.  268. — Allison's  Differential  Stethoscope. 


Fig.  269. — Knight's  Stethoscope. 


G  .T\'eV\KHU  &Ct 


Fig.  270. — Davis'  Stethoscope. 


F,  A.  Stohlmann. 


Edward  Pfarre. 


84 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAaNOSTIC. 

Fig.  271.— Carroll's  Stethometer. 


lo^ 

iliiiiiiii''            ■"""iiiiTni 

"^^ 

"-'ilfow 

if  viiiiiiiiJ 

i    ,    ,    ,1|   .    .    ,    1    ,    ,    ,2|   ,    ,    ,    1    ,    ,    ,3lU 

{ Extract  from  New  York  Medical  Journal,  February,  1868.) 
It  consists  of  an  outer  case,  marked  with  a  scale  of  three  inches,  a  b,  within  which  moves  a 
slide,  c  d,  bearing  a  gnomon  or  indicator,  d.  To  the  end  of  this  slide  is  attached  an  ordinary 
measuring  tape,  the  first  three  inches  being  cut  off,  so  as  to  render  the  scale  continuous,  which 
is  passed  around  the  cliest  and  drawn  through  the  catch  at  the  opposite  end  of  the  instrument. 
As  the  lungs  are  inflated,  the  slide  is  drawn  out  and  the  indicator  shows  the  exact  amount  of 
expansion.  A  hard  rubber  ring,  /,  sliding  easily  over  the  scale,  may  be  used  to  render  the 
stethometer  self-registering  ;  and  Messrs.  Tiemann  &  Co.  have  added  also  an  elastic  band,  ee, 
to  draw  the  two  portions  of  the  instrument  together.  This  elastic  band,  if  used  at  all,  must  be 
very  slight,  as  I  have  found  that  even  the  thin  envelope  rings  prevent  the  full  expansion  of  the 
chest.  I  therefore  remove  the  band  before  applying  the  stethometer,  which  thus  registers  itself 
without  the  hard  rubber  slides. 

Fig.  372.— Flint's  Cyrtometer. 


Compass  with  short  arms,  holding 
strips  of  lead  long  enough  to  encircle 
the  chest.  An  indicator  may  be  set  at 
any  point  by  a  thumb-screw.  The  strips 
of  lead  are  easily  moulded  so  as  to  fit 
any  depression  or  elevation  of  the  chest ; 
the  thumb-screw  is  then  loosened  and 
the  instrument  removed  ;  after  removal 
the  arras  of  the  compass  are  brought  to- 
gether at  the  same  point  of  the  indicator 
as  when  applied,  fastened,  and  when 
placed  on  paper,  the  exact  shape  of  the 
chest  can  be  traced  by  a  pencil. 


Fig.  273. — Cammann's  Cardiometer. 

To  determine  the  distance  of  the 
apex  beat  from  the  median  line,  one 
point  is  placed  on  the  median  line 
and  that  of  the  other  bar  to  a  point 
corresponding  to  the  apex  beat  ; 
by  reading  the  figure  marked  by 
the  indicator,  you  determine  the 
number  of  inches  the  apex  beat 
is  distant  from  the  median  line. 

The  instrument  is  very  small, 
and  when  closed  presents  rounded 
ends,  and  may  be  conveniently 
carried  in  the  pocket. 


F.  A.  Stohlmann. 


Edward  Pfarr^t 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


85 


DIAaNOSTIC. 

Fig.  274. — Sieveking's  ^sthesiometer. 


illlllllll 


lltllilll 
0  s 


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0         5 


G.T-IEHAN&CO. 


!o=  focxs    -am 


It  is  of  the  greatest  moment  that  in  any  patient  suspected  of  having  brain  disease,  4he  con- 
dition of  the  tactile  sensibility  be  investigated,  and  any  alteration  from  the  natural  standard 
carefully  noted.  This  necessity  has  led  to  the  invention  of  instruments  for  the  determination 
of  the  cutaneous  sensibility. 

The  earliest  attempt  in  this  direction  was  made  by  Dr.  Sieveking,  of  London,  who,  in  1878, 
described  an  instrument  for  this  purpose  which  he  called  an  aesthesiometer.  This  was  simply  a 
modification  of  the  common  beam-compass  employed  by  carpenters,  and  is  yet  in  common  use 
among  physicians  interested  in  the  pathology  of  the  cerebrospinal  organs. 

The  class  of  cases  in  which  it  is  useful  were  thus  enumerated  by  Dr.  Sieveking  : 

1.  "  In  actual  paralysis,  to  determine  the  amount  and  extent  of  sensational  impairment. 

2.  "As  a  means  of  diagnosis  between  actual  paralysis  of  sensation  and  mere  subjective 
anaesthesia,  in  which  the  tactile  powers  are  unaltered. 

3.  "  As  a  means  of  determining  the  progress  of  a  given  case  of  paralysis  for  better  or  for 
worse." 

The  diagnostic  value  of  an  instrument  of  this  nature  in  cases  where  sensibility  is  aSected, 

depends  upon  the   fact  that  the  capa- 
bility  of  distinguishing   two    impress- 
'Q\  ions  made  simultaneously  varies  in  dif- 

ferent regions  of  the  body,  according  to 
the  distance  they  are  apart. 

"  For  instance,  the  two  points  of  a 
pair  of  compasses  can  be  distinguished 
at  about  the  sixth  of  an  inch  apart  when 
applied  to  the  end  of  the  finger,  while 
on  the  back  of  the  hand  only  one  point 
Is  felt,  though  they  are  an  inch  apart." 


Fig.  275. — Hammond's  ^sthesiometer. 

For  the  purpose  of  noting  the  phe- 
nomenon as  presented  by  patients  suf- 
fering from  brain  diseases,  it  is  essen- 
tial to  have  an  aesthesiometer  of  a  com- 
pact form  and  small  size — but  one  that 
can  be  conveniently  carried  in  the 
pocket  of  the  physician.  This  want  has 
led  to  the  construction  of  a  number  of 
instruments,  many  of  which  possess 
peculiar  merit. 
Beard's  Plesmeter,  for  measuring  the  sense  of  pressure,  see  Index. 

I".  A.  Stohlmann.  Edward  Pfarre. 


86 


Pakt  I. 
GEO.  TIEMANX  &  C\0;3  SURGICAL  INSTRUMENTS, 


DIAGNOSTIC, 


Fig.  276. — Carroll's  ^Estliesiometer. 


{From  the  Medical  Record.) 

Dr.  Alfred  L.  Carroll  described  and 
illustrated  an  instrument  constructed  on 
the  general  plan  of  the  two-legged  com- 
pass, but  with  each  free  extremity  di- 
vided into  two  points,  one  blunt  and  the 
other  sharp.  Tliis  arrangement  enables 
the  observer  to  determine  the  compara- 
tive sensibility  to  contact  and  pain  at 
different  distances  by  simply  substitut- 
ing the  one  pair  of  points  for  the  other. 


Fig.  277. — Vance's  Pocket  xEsthesiometer. 

When  closed,  the  points  are  in  coaptation,  and  are  received  in  tlie  case  the  same  as  the 
blades  of  a  knife  shut  into  its  handle.  When  opened  and  the  points  separated,  the  distance  be- 
tween the  points  is  denoted  by  the  position  of  the  slide,  which  is  so  arranged  as  to  move  over  a 
scale  engraved  on  one  arm  of  the  assthesiometer.  The  scale  is  divided  into  inches  and  twelfths 
of  an  inch.  The  points  can  be  separated  to  the  extent  of  six  inches.  When  closed,  the  instru- 
ment is  four  and  one-fourth  inches  in  length.  An  instrument  which,  like  this  one,  can  be  car- 
ried in  tlie  pocket  habitually,  will 
enable  a  physician  to  make  observa- 
tions which  would  otherwise  be  im- 
possible. For  instance,  certain  reme- 
dies have  an  iinportant  influence 
upon  the  cutaneous  sensibility — 
some  depressing,  others  exalting  it. 
A  little  careful  observation  would 
furnish  veiy  valuable  information 
upon  these  points,  and  might  extend 
knowledge  of  the  mode  of  action  of 
such  remedies  in  a  very  important 
manner. 


Fig.  278. — Qtiain's  Stethometer. 

This  instrument  is  for  detei-mining  the  exact 
amount  of  difference  in  the  expansion  of  the  two 
sides  of  the  chest,  as  well  as  for  determining  the 
amount  of  local  expansion  in  any  region. 

"  Physical  Diagnosis,"  Loomis,  p.  205. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Paut  I. 
67  CHATHAM  STREET,  NEW  YOUK.. 


87 


DIAOTOSTIO. 

SPHYGMOGBAPHS. 

Instruments  to  ascertain  and  record  the  quickness,  strength,  uniformity  or  irregularity  of 
the  pulse,  also  used  for  purposes  of  diagnosis  and  various  physiological  investigations. 

Fk;.  279. — Marey's  Sphygmograph. 


Fig.  280. — Ilolden's  Sphygmograph. 


Fig.  281. ^Pond's  Sphymograph. 

It  consists  of  an  upper  and  lower  section,  the  lower 
one  containing  fluid  and  having  a  rubber  diaphragm 
stretched  over  its  end,  is,  in  use,  the  part  applied  to  the 
pulse.  The  upper  and  smaller  tube  fits  the  larger  and 
lower  tube  by  means  of  a  packing  on  its  inferior  end, 
thus  moving  freely  in  and  out,  and  determining  at  de- 
sire the  height  of  the  fluid  in  the  small  part  of  the  tube. 

Inside  the  small  part  of  the  tube  is  a  free  float,  made 
of  glass,  which  obeys  any  movement  of  the  fluid  or  any 
vibration  from  the  rubber  cap  on  the  lower  end  of  the 
instrument.  A  pendulous  needle  clasps  on  the  upper 
part  of  the  tube.  A  watch  movement  is  attached  to 
move  the  slide  on  which  the  trace  is  to  be  made.  It  is 
fastened  to  the  wi-ist  by  means  of  a  holder. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


88 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAaNOSTIO. 

Fig.  282. — White's  Haemarheumoscope. 


In  order  to  prepare  the  hfemarheumoscope  for  an  observation,  a  fraction  of  a  drop  of  filtered 
solution  of  rose  aniline  in  alcohol,  with  some  essential  spirit,  must  be  introduced.  The  essen- 
tial spirit  is  thus  employed  in  combination  with  a  view  to  its  quality  to  diminish  friction  within 
the  bore  of  the  tube. 

When  this  instrument  is  made  to  rest  firmly  and  steadily  upon  the  trunk  of  a  superficial 
vein  of  sufficient  dimensions,  the  peculiar  movement  of  the  stream  of  blood  beneath  the  bowl 
of  the  instrument  sets  the  sensitive  fluid  column  within  the  tube  into  sympathetic  motion,  clearly 
demonstrating  that  the  blood  within  the  vein  receives  the  shock  and  experiences  augmentation 
of  contents  nearly  isochronous  with  the  arterial  throb. 


Fig.  283. — Dynamometer. 


When  taken  into  the  hand  and  pressed,  the  two  sides  of  the  spring  are  approximated,  and 
the  steel  arm,  with  the  cogs  being  pushed  by  the  lower  side  of  the  spring,  turns  the  indicator. 
One  great  advantage  of  this  instrument  is,  that  when  the  pressure  is  taken  off,  the  indicator 
does  not  return  to  zero,  but  remains  at  the  point  to  which  it  has  been  carried  by  the  muscular 
poM^er  of  the  individual. 

Clinically,  you  are  able  to  measure  accurately  the  strength  of  paralyzed  muscles  of  the  upper 
extremities,  to  determine  the  slightest  difference  in  muscular  power  of  the  two  hands,  as  well 
as  any  changes  that  may  occur  from  time  to  time  in  the  course  of  coxa  of  paralysis. — "  Physical 
Diagnosis,  Loomis." 

Fig.  284. — Beard's  Piesmeter. 


This  instrument  is  for  the  purpose  of  measuring  the  sense  of  pressure.  It  consists  of  a  spring 
in  a  German  silver  tube.  The  spring  is  pressed  bj^  a  rod,  on  the  end  of  which  is  a  hard  rubber 
disc  one-third  of  an  inch  in  diameter;  on  the  tube  is  a  graduated  scale. 

The  sense  of  pressure  is  strongest  on  the  forehead,  tongue,  and  cheek  ;  next  in  order  come 
the  fingers,  back  of  hand,  forearm,  and  arm  ;  then  the  anterior  portion  of  the  thigh  and  leg, 
back  of  foot,  and  toes.     The  least  sensitive  portions  are  the  back  of  thigh  and  leg. 

On  comparison,  the  relative  sensitiveness  of  different  parts  of  the  body  to  farradization,  with 
the  relative  acuteness  of  the  sense  of  pressure  exhibits  a  remarkable  coincidence. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


89 


DIAGNOSTIC. 

Fig.  285.— a.  McLane  Hamilton's  Dynamometer. 


Pig.  286. — Dynamograph. 

For  the  same  purpose  as  the  Dynamometer,  with  addi-  m 

tional  contrivance  for  recording  observations. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  1. 
90  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRIBIENTS, 


DIAaNOSTIO. 


Pig.  287. — Microscope. 


Fig.  291. — Transplantation 

Scissors. 

For  obtaining  minute  sections 
of  fresh  tissue  for  transplant- 
ation or  for  examination. 


AIDS   TO    MICROSCOPICAL   EXAMINATIONS. 

Fig.  288.— Duchenne's  Exploring  Trocar. 


G.TIEWfliNN&CO.NV. 

Fig.  288&.— Duchenne's  Exploring  Trocar  (Ivory  Handle). 


These  Trocars  are  introduced  into  the  muscle  open.  When  in  dtu  a  piece  of  sharp  steel  is 
pushed,  by  means  of  the  button,  against  the  barb  of  the  Trocar.  A  piece  of  muscle  is  thus 
caught,  which,  on  the  withdrawal  of  the  Trocar,  can  be  examined. 

Fig.  289.— Exploring  Trocar. 


C.  riEMANN  &  CO  -  

Fig.  290. — Tiemann  &l  Co.'s  Exploring  Trocar. 


G.TIEMANM.CQ-NY, 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
G7  CHATHAM  STREET,  NEW  YORK. 


91 


DIAQNOSTIO. 

AIDS    TO    MICROSCOPICAL   EXAMINATIONS. 

Fig.  292. — Noeggerath's  Exploring  Trocar. 


Fig.  29C.  -Jewett's  Improved  Section  Cuiter. 


It  is  a  modification  of  the  well-known  apparatus  of  Dr.  Edward  Curtis.  The  brass  and 
glass  plates  of  Dr.  Curtia'  holder  are  replaced  by  a  single  slab  of  vulcanite.  By  means  of  the 
screw  a  tight-fitting  shaft  of  vulcanite  is  moved  upwards  through  the  cylindrical  barrel.  The 
screw  is  cut  fifty  threads  to  the  inch,  and  the  circumference  of  the  milled  head  graduated  for 
measuring  the  thickness  of  sections. 

The  holder  may  be  secured  to  a  table  by  means  of  the  clamp.  The  tissue  to  be  cut,  previ- 
ously hardened,  is  imbedded,  in  the  usual  manner,  in  a  paraffine  cylinder,  cast  upon  the  end  of 
the  vulcanite  shaft.  The  paraffine  is  held  fii-mly  to  the  shaft  by  two  dovetailed  slots  cut  at 
right  angles  to  each  other  in  the  end  of  the  shaft.  The  knife  may  be  used  with  or  without  the 
knife-frame  of  Dr.  C.  With  the  frame  large  sections  of  extreme  thinness  may  be  cut  with 
facility. 

Fig.  294. — Curtis'  Section  Knife  and  Frame. 


Fig.  295. — Valentine's  Section  Knife  (Tiemann's  Model). 


F.  A.  Stohlmann. 


Edward.  Pfarre. 


93 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DIAGNOSTIC. 

AIDS   TO   MICROSCOPICAL   EXAMIISTATIONS. 

Fig.  29G.— Piffard's  Cutisector. 
For  obtaining  thin  sections  of  morbid  integument  for  microscopical  examination. 


It  consists  of  two  parallel  blades,  which  may  be  approximated  by  means  of  screws.  The  knife  being  held  as  a 
pen,  a  perpendicular  incision  maybe  made  through  the  whole  thickness  of  the  skin,  and  the  knife  withdrawn,  leav- 
ing attached  a  thin  slice  of  tissue,  which  can  be  easily  removed  with  a  pair  of  line  forceps  and  placed  under  the 
microscope. 

Fig.  299. — Microscopic  Section  Razor. 


I    I 


Fig.  300. — Microscopic  Pocliet  Scalpel. 


Fig.  301. — Microscopic  Scalpel. 


M 


Fig.  302. — Probe-Pointed  Microscopic  Bistoury. 

Fig.  303. — Sharp-Pointed  Microscopic  Bistotny. 

Fig.  304. — Spesr-Pointcd  Microscopic  Knife. 


Fig.  306.— Microscopic  Needle  (Straight  or  Curved). 


Q..'\\tW\M4N&,C0 


Fig.  307. — Microscopic  Needle  Holder. 


To  ohtsdn  fluid  contained  in  a  distended  pleural,  jiericardial  or  abdominal  cavity,  &c.,  for  examination,  the 

Aspirators  are  useful. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


93 


DIAGNOSTIC. 

AIDS  TO   MICROSCOPICAL  EXAMINATIONS. 

Fig.  310. — Plard  Rubber  Microscopic  Syringe,  No.  0. 


"Microscopic  Scissors,"  see  Figs.  110,  111,  Part  II. 
Fig.  311. — Brass  Microscopic  Syringe,  No.  1. 


POST  MOETEM. 

Fig.  312. — Embalming  Pump. 

Tlie  art  of  embalming  originated  in  Egypt  over 
3000  years  ago.  The  invention  was  ascribed  by  tlie 
Egyptians  to  Anubis  the  son  of  Osiris,  who  is  said  to 
have  performed  the  office  for  his  father.  In  recent 
times,  considerable  attention  has  been  devoted  to  the 
subject  and  various  processes  and  compounds  have 
been  devised. 

Gaural  injected  the  veins  with  sulphate  of  alumina. 
Falconi  in j  ected  into  the  body  sulphate  of  zinc.  Chlo- 
ride of  zinc  and  sulphate  of  soda  are  also  sometimes 
used. 

For  temporary  preservation  of  bodies  for  anatomi- 
cal investigations  the  following  requisites  are  neces- 
sary. The  body  should  remain  in  a  soft  and  flexible 
condition  for  a  period  of  at  least  three  months,  the 
tissues  should  not  change  color,  the  material  should 
not  be  injurious  to  the  laealth  of  the  operator,  nor  spoil 
the  instruments  used  in  tlie  operation,  and  it  must  be 
either  free  from  or  have  an  agreeal;le  odor,  and  be 
cheap. 

Dr.  Wywodzoff,  of  St.  Petersburg,  Russia,  recom- 
mends thymol  diluted  with  water  and  glycerine. 
5.     Thymolis,      .     .     .     sc.  ij. 
Glycerine,     .     .     .    lbs.  iv. 
Aq., lbs.  ij. 

The  Embalming  Pump  (fig.  312)  is  made  of  brass,  with  metal  valves, 
accurately  fitted.     Three  points  of  assorted  sizes  accompany  the  pump, 
nickel-plated  and  put  up  in  a  black  walnut  case,  lined  with  velvet 

Dr.  WywodzofE's  Embalming  Apparatus 


F.  A.  Stohlmaun. 


Edward  Pfarre. 


94 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


POST  MOETEM  AND  DISSEOTmG. 

Fin-,  ol3. — Anatomical  Syringe. 


Brass  Syringe. 
1  Double  Injection  Pipe. 
3  Different  sizes  single  Pipes. 
1  Stopcock. 

1  Key  Wrench  to  fasten  and  detach  the  stop-cock. 
1  Mahogany  Case  lined  with  velvet $40.00 

Fig.  314. — Steel-Handle  Cartilage  Knife. 


Fig.  316.— Dissecting 
Double  Hook. 


Fig.  315. — Dissecting  Hook  (Steel  Handle). 


Fig.  317.— Darling's  Chain  Hook. 


Fig.  319.— Chain  Hook. 


Fig.  320.— Reamer. 

erf 


G^.TVL^AKUU&CO. 


r.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM   STREET,  NEW  YORK. 


95 


P5 


POST  MOETEM  AND  DISSEOTINa. 


Fif>  324.— Tripod  Ilcud-Rcst. 


W 


a, 


Fig.  326.— Braiu  Knife. 


Fig.  327. — Eiiterotome. 


Fig.  328.— Calvarian  Hook. 


Fig.  329.— 1  Posl-mortem  Saw,  1  Kuife  and  1  Handle. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


96 


Pa-rt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


DISSEOTma  SETS. 


No.  1  Dissecting  Set. 

Price,  $S.oo. 

I  Steel  Handle  Cartilage  Knife.' 

4  Ebony  Handle  Scalpels,  assorted. 

I  Steel  Handle  Dissecting  Hook. 

I  German  Silver  Blowpipe. 

I  pair  of  Straight  Dissecting  Scissors. 

I  pair  of  Dissecting  Forceps. 

I  set  of  Chain  Hooks. 

I  Chisel. 

I  Mahogany  or  Rosewood  Case,  with 

lock  and   key,   nfeatly  arranged, 

lined  with  velvet. 


No,  2  Dissecting  Set, 

Price,  $7.00. 

I  Steel  Handle  Dissecting  Hook. 

4  tbony  Handle  Scalpels,  assorted. 

I  Steel  Handle  Cartilage  Knife. 

I  set  of  Wire  Chain  Hooks. 

I  pair  of  Dissecting  Forceps. 

I  pair  of  Straight  Dissecting  Scissors. 

I  German  Silver  Blowpipe. 

I  Mahogany  Case,  lined  with  velvet. 


No.  3  Dissecting  Set. 

Price,  $6.25. 

I  Steel  Handle  Dissecting  Hook. 

3  Ebony  Handle  Scalpels,  assorted. 

I  Steel  Handle  Cartilage  Knife. 

I  set  of  Wire  Chain  Hooks. 

I  pair  of  Dissecting  P'orceps. 

I  pair  of  Straight  Ijissecting  Scissors. 

I  German  Silver  Blowpipe. 

I  Mahogany  Case,  lined  with  velvet. 


No.  4  Dissecting  Set. 

Price,  $6.00. 

I  Steel  Handle  Cartilage  Knife. 

3  Ebony  Handle  Scalpels,  assorted. 

I  Steel  Handle  Dissecting  Hook. 

I  set  of  Wire  Chain  Hooks. 

I  pair  of  Dissecting  Forceps. 

I  pair  of  Straight  Dissecting  Scissors. 

I   Mahogany  Case,  lined  with  velvet. 


No.  5  Dissecting  Set. 

Price,  $5.50. 

1  German  Silver  Blowpipe. 

2  Ebony  Handle  Scalpels. 

I  Steel  Handle  Dissecting  Hook. 

I  Steel  Handle  Cartilage  Knife. 

I  pair  of  Dissecting  Forceps. 

I  pair  of  Straight  Dissecting  Scissors. 

I  set  of  Wire  Chain  Hooks. 

I  Mahogany  Case,  lined  with  velvet. 


No.  6  Dissecting  Set. 

Price,  $5.25. 

2  Ebony  Handle  Scalpels. 

I  Steel  Handle  Dissecting  Hook. 

I   Steel  Handle  Cartilage  Knife. 

I  pair  of  Dissecting  Forceps. 

I  pair  of  Straight  Scissors. 

I  set  of  Wire  Chain  Hooks. 

I   Mahogany  Case,  lined  with  velvet. 


Darling's  Dissecting  Set. 

Price,  $5.75. 

3  Darling's  Scalpels,   ebony  handles, 

assorted. 
I  set  of  Adjustible  Chain  Hooks. 
I  pairof  Coxeter'sDissecting  Forceps, 
I  pairofCiirved  lip  Dissecting  Scissors. 
I  Mahogany  Case,  lined  with  velvet. 


Microscopic  Dissecting  Set, 
Price,  $15.00. 

I  Needle  Holder. 

6  Needle  Points. 

I  Section  Knife. 

I  Fine  Lacerating  Needle. 

I   Heavy  Lacerating  Needle. 

3  Ebony  Handle  Microscopic  Scalpels, 
assorted. 

I  pair  of  Straight  and  Delicate  Micro- 
scopic Dissecting  Forceps. 

I  pairof  Curved,  Delicate  Microscopic 
Dissecting  Forceps. 

I  pair  of  Straight,  Delicate  Scissors. 

I  pair  of  Delicate  Scissors,  curved  on 
the  flat. 

I  Neat  Rosewood  Case,  lined  with  silk 
velvet. 


Our  Patent  Dissecting  Case. 

Price,  $3.50. 

I  Steel  Handle  Cartilage  Knife. 

3  Ebony  Handle  Scalpels. 

I   Steel  Handle  Dissecting  Hook. 

I  set  of  Wire  Chain  Hooks. 

I  pair  of  Dissecting  Forceps. 

I  pair  of  Straight  Dissecting  Scissors. 

I   Blowpipe.  ** 

I  Strap  to  sharpen  the  scalpels. 

I   Black  Walnut  Case. 


POST  MOETEM  SETS. 


No,  1  Post  Mortem  Set. 

Price,  $28.00. 

I  Hammer. 

I  Costotome  (Rib  Shears'). 

1  Ebony  Handle  Cartilage  Knife. 

2  Ebony  Handle  Scalpels,  assorted. 
I  Steel  Handle  Dissecting  Hook. 

I  pair  of  Coxeter's  Dissecting  Forceps. 

I  Enterotome. 

I  set  of  Heavy  Chain  Hooks. 

I  pair  of  Straight  Scissors. 

I  Saw. 

I  Amputating  Knife. 

I  Handle  to  fit  the  Saw  and  Knife. 

I  Chisel. 

1  Reamer. 

2  Needles,  Thread  and  Wax. 

I  Mahogany  Case,  with  a  slide  or  lock, 
lined  with  velvet. 


No,  2  I  Hutchison' s>  Post  Mortem  Set, 

Price,  $24.00. 

I  Amputating  Knife. 

I  Saw. 

I   Handle  to  fit  the  above. 

1  Chisel. 

I  pair  of  Straight  Dissecting  Scissors. 


I  set  of  Chain  Hooks. 

I  pair  of  Dissecting  Forceps. 

I  Aneurism  Needle. 

I  Metacarpal  Saw. 

3  Ebony  Handle  Scalpels,  assorted. 

I  Steel  Director. 

I  Probe-pointed  Bistoury. 

I   Hammer. 

I  Steel  Handle  Dissecting  Hook. 

I  large   Ebony  Handle  Cartilage 

1  German  Silver  Blowpipe.       [Knife. 

2  Needles,  Silk  and  Wax. 

I  Rosewood  Case,  with  lock  and  key, 
lined  with  velvet. 


No,  3  Post  Mortem  Set, 

Price,  $22.00. 

I   Hammer. 

I  Costotome  Chisel. 

I   Steel  Handle  Cartilage  Knife. 

3  Ebony  Handle  Scalpels,  assorted. 

I   Steel  Handle  Dissecting  Hook. 

I  pair  of  Plain  Dissecting  Forceps. 

I   Enterotome. 

I  set  of  Heavy  Chain  Hooks. 


I  German  Silver  Blowpipe. 

I  Plain  Chisel. 

I  pair  of  Straight  Dissecting  Scissors. 

I  Amputating  Knife. 

I  Saw. 

1  Handle  to  fit  the  Knife  and  Saw. 

2  Needles,  Thread  and  Wax. 

I  Mahogany  Case,  with  a  slide  or  lock, 
lined  with  velvet. 


Finnel's  Post  Mortem  Set. 

Price    $12.50 

I   Amputating  Knife. 

I  Saw. 

I   Handle  to  fit  the  above. 

3  Ebony  Handle  Scalpels,  assorted. 

I  Steel  Handle  Cartilage  Knife. 

I  pair  of  Straight  Dissecting  Scissors. 

I   Ebony  or  Steel  Handle  Tenaculum. 

I  set  of  Heavy  Chain  Hooks. 

I   German  Silver  Blowpipe. 

1  pair  of  Dissecting  Forceps. 

2  Needles  and  Thread. 
I  Chisel. 

I   Rosewood  Case,  with  lock  and  key, 
lined  with  velvet. 


F.  A.  Stohlraann. 


Edward  Pfarre. 


Pakt  I. 
67  CHATHAM  STREET,  NEW  YORK. 


97 


POST  MOETEM. 


Fig.  330. — Post  Mortem  naramer. 


FtCt.  332. — Pinnell's  Knife,  Saw  and  Handle. 


Fig.  333. — Double  Rachitome. 


PHYSIOLOaiOAL  EXPEEIMENTS. 

Flint's  Armamentarium  for  Physiological  Experiments. 

Contents  of  complete  set  in  case  : 

i  Portal  Vein  Ligator.     Fig.  384. 

1  pair  Bone  Forceps,  for  opening  spinal  canal.     Fig.  335. 

1  Hey's  Saw,  for  opening  spinal  canal.     Fig.  336. 

1  pair  Forceps,  for  extirpating  the  spinal  accessory  nerve.     Fig.  337. 

1  Drill  for  breaking  up  medulla  oblongata.     Fig.  338. 

1  pair  Bone  Forceps,  shear  handles.     Fig  339. 

3  Blunt  Hooks,  for  hooking  up  roots  of  spinal  nerves.     Fig.  340. 

(Continued  on  nest  page.) 


"F.  A.  Stohlmann. 


Edward  Pfarre. 


98 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


PHYSIOLOGICAL  EXPERIMENTS. 

Flent's  Armamentarium  for  Physiological  Experiments. 
(C'o?itm^ied.) 
2  Knives,  for  intra-cranial  division  of  the  root  of  the  fifth  nerve.     Fig.  341. 
2  Picjues,  for  irritation  of  the  floor  of  tlie  fourth  ventricle.     Fig.  342. 

1  Bull-dog  Forceps,  for  drawing  out  tlie  stomach  in  making  a  gastric  fistula. 

2  Gastric  Fistula  Tubes.    Fig.  344. 

1  Catheter,  for  catheterizing  the  right  side  of  the  heart.    Fig.  345. 

2  Dissecting  Tenacula,  steel  liandles.    Fig.  315. 

1  pair  long-pointed  Dissecting  Forceps.    Fig.  346. 


Fi-.  343 


Fiff.  349. 


Fiff.  351. 


pair  medium  Dissecting  Forceps.    Fig.  347. 
pair  sliort  Dissecting  Forceps.    Fig.  348. 
Enterotome.     Fig.  327. 

Blowpipe,  with  mouth-piece,  stop-cock  and  2  points. 
Lifting-Back  Saw,  9  inches  long.    Fig.  352. 
1  Lifting-Back  Saw,  7)^  inches  long.    Fig.  352. 

1  pair  Scissors — one  probe-point,  the  other  sharp. 

2  pair  Pointed  Scissors.    Fig.  351. 

3  Langenbeck's  Steel  Serresfines.    Fig.  103d. 
1  Heavy  Cartilage  Knife.    Fig.  350. 

3  Scalpels,  assorted  sizes.     Figs.  17,  18,  19. 

1  Probe-pointed  Bistour3^    Fig.  27. 

3  Microscopic  Needles,  each  in  handles.    Fig.  306. 

1  Tenotome.    Fig.  22. 

1  Artery  Needle.     Fig.  32. 

1  Mahogany  Case,  lined  with  oil-dyed  velvet $70.00 


Fig.  334.— Portal  Vein  Ligator. 


Fig.  335. 

Bone  Forceps,  for 

opening  spinal  canal. 


Fig.  339. 
Bone  Forceps 


Fig.  336.— Hey's  Saw. 


^--^ 


Fig.  337. — Forceps,  for  extirpating  the  spinal 
accessory  nerve. 


Fig.  338. — Drill,  for  breaking  up  medulla  oblongata. 


r.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


99 


PHYSIOLOQIOAL  EXPEEIMENTS. 


Fig.  340. — Blunt  Hooks,  for  hooking  up  roots 
of  spinal  nerves. 


Fki.  344. 
rjiistric  Fistula  Tubes. 


Fig.  341. — Knives,  for  intru-cianial  division  of  the 
root  of  the  fifth  nerve. 


Fig.  342. — Piques,  for  irritation  of  the  floor  of  the 
fourth  ventricle. 


Fig.  343. — Bull-dog  Forceps,  for  drawing  out  the  stomach  in  making 
a  gastric  fistula. 


Fig.  352. — Lifting-back  Saw  (see  also  fig.  58,  Part  I.) 


F.  A.  Stohlmann. 


Edward  Pfarre. 


100 


P.UIT   I. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELEOTEO-THEEAPEUTIO. 

Fig.  353. — Stoehrer's  Galvanic  Battery  (Constant  Current). 

{Abi-idged  from  Beard  &  RockweWs  work  on 

Medical  and  Surgical  Electricity.) 

^"    <^^^  ^71]  How  THE  Battery  is  Cokstrtjcted 

otss*^      t'^  -        -fill  ''^^  Used. — This  battery  is  composed 

^^>;^\       y^~~  "^J^^         /iiillll  °-^  plates  of  zinc  and  carbon  in  a  solution 

W    ^        /ifillliliilllil  of  bichromate  of  potass,  sulphuric  acid, 

and  water.    The  solution  is  contained  in 

glass  jars  that  are  raised  up  to  the  plates 

of  zinc  and  cai'bon  by  the  keys  at  the 

G.  TiEMANN  &  CO       IIIIIIIIIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIlllllllllllllllllllllllllllllllll'll 111ITI""JI^F'        ^^^^  '^^  *^^  ^'^^-     When  the  jars  are 

raised  by  the  keys  to  the  top  of  the  box, 

^  ^^_  turn  the  keys  at  right  angles  and  the  jars 

■'  mJ^^  will  stay  in  position,  and  the  battery  is 

ready  for  use,  if  the  jars  are  properly 

filled  with  the  solution.    By  means  of 

llllllllllllllllllllllillli^='  *^*^  slide  on  the  top,  the  current  can  be 

increased  two  cells  at  a  time,  as  indicated 

by  the  graduated  plane  at  the  side. 

When  the  battery  is  not  in  use  the  jars  should  be  let  down  from  the  plates  by  means  of  the 

keys.     If  allowed  to  remain  immersed  day  after  day  the  battery  will  rapidly  lose  its  strength. 

How  TO  Charge  the  Battery. — The  solution  is  made  in  about  the  following  proportions : 

sulphuric  acid,  1  oz. ;  bichromate  potass,  1|  oz. ;  water,  10  oz.    The  best  way  to  make  the  solution 

s  to  dissolve  the  bichromate  of  potass  in  cold  water  and  then  add  the  sulphuric  acid.  The  mingling 

of  the  water  and  sulphuric  acid  causes  great  heat.    Do  not  use  the  solution  until  it  is  cool. 

Lift  out  the  plates  by  the  middle  piece  to  which  they  are  attached,  lift  up  the  jars  by  the 
keys  and  fill  each  jar  with  two,  or  three,  or  three  and  a-half  ounces  of  the  solution.  They  should 
be  filled  pretty  uniformlj'^,  and  care  should  be  taken  that  no  more  should  be  put  in  than  the  jar 
will  hold  after  the  plates  are  immersed. 

How  TO  Clean  the  Battery  and  Amalgamate  the  Zincs. — Every  few  weeks  or  months, 
according  to  the  extent  to  which  the  battery  is  used,  it  Avill  be  necessary  to  wash  the  plates  and 
scrape  off  the  incrustations  and  renew  the  solution,  or,  at  least,  to  add  more  acid  or  water,  and 
amalgamate  the  zincs.  A  good  Avay  to  amalgamate  the  zincs  is,  take  a  strip  of  zinc,  dip  it  in  k 
solution  of  sulphui'ic  acid  and  water,  then  dip  it  in  mercury ;  the  mercury  will  adhere  to  and 
run  over  it;  then  rub  it  up  over  the  surface  of  the  zincs  of  the  battery  until  all  are  well  covered 
with  mercury.  During  the  process  of  amalgamation  the  zincs  should  be  kept  well  moistened 
with  a  solution  of  sulphuric  acid  and  water.  The  brass  work  of  the  battery  should  be  kept  dean 
and  bright,  so  that  the  current  may  flow  readily. 

How  to  Tell  the  Strength  op  the  Current. — Those  who  have  no  galvanometer  can 
tell  whether  the  current  is  running  and  how  strong  it  is  by  putting  one  pole  in  the  hollow  of 
the  hand,  and  the  other  between  the  thumb  and  forefinger.  The  poles  should  be  of  sponge,  wet 
with  salt-water  or  simple  warm  Avater.  Those  who  have  been  accustomed  only  to  the  noisy  and 
violent  Faradic  (induced)  current,  will  be  disappointed  to  find  that  this  galvanic  current  causes 
only  a  slight  burning  sensation,  with  no  shocks,  except  when  interrupted.  A  current  that  is 
scarcely  felt  when  applied  in  the  hand,  maj^  be  too  strong  to  apply  to  the  head,  or  face,  or  neck. 
Th^e  greatest  mistakes  are  made  by  using  the  galvanic  current  too  strong. 

How  to  Distinguish  the  Poles. — The  current  is  felt  strongest  at  the  negative  pole. 
When  both  poles  are  dipped  in  a  solution  of  Iodide  of  Potassium,  the  brown  color  of  the  iodine 
appears  at  the  positive  pole. 

Stoehrer's  8  Cell  Battery $20.00 

"        16      "  "       30.00 

32      "  "       55.00 

Each  with  a  pair  of  Handles  and  the  Conducting  Cords. 

P.  A.  Stohlmann.  Edward  Pfarre. 


Part  1. 
67  CHATHAM  STREET,  NEW  YORK. 


101 


ELECTEO-THEP.APEUTIC. 

Fig.  354. — Gaiffe's  Battery  (Fai-radif.  CJiirrent). 


It  gives:  1.  The  primary  current ;  3.  The  secondary  current ;  3.  The  current  of  the  two  first, 
combined  in  intensity ;  4.  Shocks,  slow  or  fast,  according  to  the  use  either  of  the  contact  breaker 
or  tlie  lever. 

Admitting  that  the  three  currents  produce  the  same  physiological  effects,  they  give  a  series 
of  results  increasing  in  intensity. 

The  battery  working  this  instrument  consists  of  a  small  rectangular  cell  of  hard  rubber  divided 
in  the  middle,  each  part  containing  a  carbon  plate  and  also  one  of  zinc.  Each  is  charged  with 
bi-sulphate  of  mercury  and  water,  producing  no  fumes  or  smell  whatever. 

To  prepare  the  apparatus  for  use :  remove  the  zincs  a  a  from  the  gutta  percha  reservoir  b  b, 
place  a  few  grains  of  bi-sulphate  of  mercury  on  the  carbon  plates  contained  in  same  reservoir 
and  mix  with  a  little  water.  Replace  the  zincs  a  a.  Should  the  apparatus  refuse  to  work,  give 
the  vibrator  c  an  impulse  with  your  finger. 

The  power  of  the  apparatus  is  regulated  by  pulling  out  the  tube  d  more  or  less,  and  increased 
by  adding  to  the  dose  of  bi-sulphate  of  mercury. 

By  placing  the  conducting  wires  in  their  sockets  A  B,  we  have  the  primary,  in  A  C  the  extra, 
and  in  A  D  the  primary  and  secondary  currents. 

To  produce  sliocks  press  on  the  button  e. 

After  use,  clean  out  the  reservoirs,  wash  and  dry  them. 

To  keep  the  apparatus  in  repair : 

a.  Oxide  often  forms  on  the  platina  of  the  vibrator  c,  clean  it  by  rubbing  it  softly  with  a 

small  smooth  file. 

b.  The  same  may  happen  to  the  springs  //  which  touch  the  platinum  wires  emerging  from 

the  reservoir;  clean  them  in  like  manner,  and  as  they  serve  the  double  purpose  of 
holding  in  place  the  reservoirs  and  forming  the  connection  with  the  instrument — it  is 
necessary  to  rebend  them,  should  they  cease  to  touch  the  wires. 

c.  The  ends  of  the  conducting  wires  and  their  sockets  A  B  GB  should  also  be  kept  clean, 

which  may  be  done  with  powdered  pumice  stone  and  a  rag,  the  holes  cleaned  out  with 
pumice  stone  and  a  piece  of  wood. 

Accessories  to  the  Battery: 

1.  A  pair  of  Sponge  Holders. 

2.  An  olive  shaped  Excitor. 

3.  A  spherical  Excitor. 

4.  A  metallic  Brush. 

Price  of  Apparatus |13.00 

Same,  nickel-plated 14.00 

Extra  Troughs,  each 1.75 

Extra  Zinc  Plates,  each 20 

Bi-sulphate  of  Mercury,  per  oz 25 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 


103 


GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELEOTRO-THERAPEUTIO. 


O   qH 

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w 

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& 

<o  -to 

H 

O     o 

■*0      rd 

r/l 

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OJ 

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a  .2 

No.  3 - : $22.00 

Nickel-plated ^^-00 

P.  A.  Stohlmann.  Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


ELEOTRO-THEEAPEUTIO. 

Tig.  357.— Kidder's  Family  Battery.     $16.00. 


Fig.  358. — Jolinson's  Electric  Self-Monitor. 


Fig.  359. — Davis  &  Kidder's  Ma.a:neto-Electric  Machine. 

•  KIDDffis 


lOc 


For  Nervous  Diseases. 

Instructions  for  use,  in  the  English,  Ger- 
man, and  Spanish  languages,  accompany 
each  apparatus. 

$10.00. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


104 


Part  1. 

GEO.  TiEMA?s^:sr  &  co;s  surgical  instruments, 


ELEOTEO-THEEAPEUTIO. 


Fig.  360.— Hydro-Rheostat. 

The  object  of  the  Rheostat  is  to  vary  the  intensity  of 
the  current  by  passing  it  through  water.  It  is  an  im- 
portant accessory,  inasmucli  as  by  it  the  physician  can 
gradually  increase  the  po"wcr  without  giving  any  shock 
to  the  patient,  which  is  indispensable  in  the  treatment 
of  the  organs  of  special  sense  and  the  nervous  centres. 

Can  be  used  with  any  galvanic  battery  or  electro- 
magnetic machine. 

$10.00. 


Fig.  331.— The  Voltaic  Armadillo. 
An  electro-magnetic  remedy  for  nervous  diseases. 


00.      U  _  00.    Slperpair 


Ladies'  Sole 


Gent's  Sole 


Fig.  362.— Garratt's  Electric  Disk. 

Flexible,  self-acting,  comfortable,  vitallzhig  and  durable 


Long  Disk,  4  x  12  inches,  and  strap  to  go  around  the 

body,  $3.50. 

Extra  Long  Disk,  4x8  inches,  and  strap  with  buckle 

for  larger  body,  $5.00. 


0 

B 

K 

Bn 

" 

HUB 

.^ 

Ieih 

s 

^m 

'c 

j/m 

2 

n 

g  -^ 


52.50. 


A  constant  medico-electric  relief  for  local  pains  and  weakness,  for  old  rheumatic  and  neu- 
ralgic pains,  coldness  and  stiffness,  weak  lungs,  heart,  stomach,  kidneys,  sluggish  liver,  lame 
back,  and  other  ailments. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CIIAI^IIAM  STliKKT,  NEW  YORK. 


1(K 


ELECTEO-THEEAPEUTIO. 

ELECTRODES. 

Instruments  for  localized  electrization  may  be  nsed  in  connection  with  any  galvanic  or 
faradic  apparatus. 

To  affect  tlie  tissues  beneath  the  epidermis,  electrodes  covered  -with  sponge,  chamois,  oi- 
flannel  moistened  with  salt-water  are  most  eflicient. 

Duchenne  used  the  faradic  current  making  applications  to  nmscles.     Kemak  applied  the 
galvanic  current  to  motor  nerves. 

Niemeyer  says  :  "  In  the  constant  current  we  have  the  means  more  powerful  than  any  other 
of  modifying  the  nutritive  conditions  of  parts  that  are  deeply  situated. 
< 
Fig.  363.— Beard's  Adjustable  Electrode,  with  Band. 


These  are  made  of  different 
sizes.  They  can  be  kept  in  con- 
tact with  any  part  of  the  body  by 
means  of  a  single  cloth  band. 
They  may  be  covered  with  sponge 
or  with  electrode  covers  made  of 
flannel,  provided  with  elastic  in 
their  edges  to  keep  them  in  posi- 
tion and  allow  of  slipping  them 
on  and  off  easily. 


Fig.  364. — Beard's  Adjustable  Electrode,  with  Flannel  Cover. 


Fig.  365.— Metallic  Brush  Electrode. 


Fig.  366.— Spinal  Electrode. 


Fig.  369.— Piffard's  Electrodes. 
For  localized  electrization.     Duchenne's  method. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


106 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELECTEO-THEEAPEUTIO. 

Fig.  370. — Rectal  Electrode  (non-insulated). 


To  relieve  obstinate  cases  of  constipation  by  internal  application,  the  other  pole  may  be 
applied  at  different  points  over  the  abdomen. 


Fi<r.  371.— Insulated  Rectal  Electrode. 


Fig.  372.— Double  Rectal  Electrode. 


Fig.  373. — Intra-Uterine  Electrode. 


G.TIEMANW-CO. 


The  basis  is  similar  to  Sim's  Sound.  This  is  insulated  by  a  rubber  catheter,  leaving  the  point 
bare  as  far  as  desired.  Tlie  handle  is  of  hard  rubber ;  it  is  connected  to  the  wire  of  the  apparatus 
by  a  hole  and  thumb-screw.  By  a  spring  button  the  connection  of  the  current  can  be  made  or 
broken  at  pleasure.  This  makes  it  convenient  to  give  rapid  interruptions  and  to  instantaneously 
suspend  the  treatment  w^hen  required. 

Fig.  374. — Uterine  Electrode. 


P.  A.  Stohlmann. 


Fig.  375. — Duchenne's  Double  Uterine  Electrode. 

This  is  composed  of  two  plates,  insulated  from  each  other, 
and  passing  through  a  gum  catheter.  One  of  the  insulated 
wires  is  connected  with  the  positive,  the  other  with  the  nega- 
tive pole.  On  pushing  the  wires  forward,  and  through  the 
catheter,  the  plates  ope  a ;  the  neck  of  the  uterus  may  then  be 
clasped  by  drawing  or  the  wires. 


Edward  Pfarre, 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


107 


ELEOTRO-THEEAPEUTIC. 

Fio.  876.— Vaginal  Electrode. 


May  be  connected  with  either  positive  or  negative  pole;  useful  in  leucorrhoea  and  prolapsus. 
Fig.  377. — Intra-Uterine  Galvanic  Pessary. 


ejt£iiAjmiita 


Fig.  378. — Hank's  Galvanic  Pessary. 


Fig.  379. — Insulated  Catheter  Electrode,  for  electrization  of  the  male  genital  organ. 


The  Catheter  Electrode  may  be  connected  with  the  negative  pole  while  the  positive  is  at  the 
hypogastric  region  or  back. 

Fig.  380. — Duchenne's  Double  Vesical  Excitor  or  Electrode,  for  treating  incontinence  of 
urine  and  paralysis  of  the  bladder. 


By  means  of  the  double  Excitor  of  Duchenne  the  ciTrrent  can  be  more  exclusively  localizea 
in  the  muscles  of  the  bladder  than  by  any  other  method. 


P.  A.  Stohlmann 


Edward  Pfarre. 


108 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELECTEO-THEEAPEUTIO. 

Fig.  381.— Tiemann  &  Co.'s  Set  of  Electrodes. 


1  Universal  Handle;  1  Rectal-  and  Vaginal-;  1  Sponge  Holder-;  1  Tongue-;  1  Needle  Holder-; 
1  Wire  Brush-;  1  Uterine-;  1  Vesical  Electrode.    In  Morocco  Case .$12.00 


Fig.  382.— Nasal  Electrode. 


Fig.  387. 

Rockwell's  Brass  Ball 

Electrode. 


Fig.  888. — Mackenzie's  Laryngeal  Electrode. 


"F.  A,  Stohlmann. 


Edward  Pfarre. 


Pakt  Io 
67  CHATHAM  STREET,  NEW  YORK. 


109 


ELEOTEO-THEEAPEUTIG. 

Fig.  389. — ^Beard's  Current  Chaii'^cr. 


Fig.  889  represents  a  current-reverser  recently  devised  and  perfected,  and  wliicli  was  first 
constructed  by  Messrs.  Tiemann  &  Co. 

It  differs  mainly  in  this  feature  from  other  devices  to  accomplish  the  same  purposes,  viz. : 
that  the  current  is  reversed  by  simple  and  slight  pressui-e  of  the  thumb,  without  the  intervention 
of  a  slide  or  any  complex  arrangement  whatever.  The  letter  B  represents  the  button  of  the 
spring,  by  pressing  which  the  current  is  interrupted  or  reversed.  Pressing  it  lightly,  interrujits 
the  current,  pressing  it  firmly  reverses  it.  In  the  vertical  section  of  the  hard  rubber  handle  A  A 
is  rei^resented  as  springing  up  against  a  metallic  plate  on  the  upper  and  inner  surface  of  the 
handle.  Pressing  it  slightly  down,  the  metallic  connection  is  broken  and  the  current  is  inter- 
rupted; pressing  it  firmly  down,  the  connection  is  made  and  reversed  at  BB,  the  metallic  plate 
on  the  lower  surface  of  the  handle. 

C  represents  the  wires  that  connect  with  the  battery,  enclosed  in  a  rubber  tubing  E. 

i'^and  O  are  flexible  wire  electrodes  armed  with  sponges;  they  can  be  separated  several 
inches  and  kept  there,  or  put  close  together,  as  represented  in  the  cut.  The  advantages  of  this 
are  these:  1.  In  many  of  the  applications  of  localized  electrization  this  neat  and  simple  arrange- 
ment saves  considerable  expenditure  of  muscle  on  the  part  of  the  operator.  One  hand  can  be 
perfectly  free,  while  the  other  holds  and  guides  the  electrode.  -  In  electrizing  the  muscles  of  the 
hand  and  arm,  and  of  the  face  especiallj^,  it  is  far  more  convenient  than  to  use  separate  electrodes. 

2.  In  cases  of  paralysis  of  motion  and  of  sensation,  where  voltaic  alternatives  are  sometimes 
indicated,  this  is  the  easiest  conceivable  method  of  reversing  the  current. 


CARE    OF    ELECTRODES. 

The  chemical  action  of  battery  currents  corrodes  any  metal  that  is  used  for  electrodes,  except 
platinum,  which  is  however  too  expensive  to  find  general  employment.  Copper  used  for  the 
foot  plates,  brass  used  generally  for  various  electrodes  becomes  corroded,  and  in  this  condition 
refuses  to  work  satisfactorily. 

They  need  to  be  polished  or  cleansed  occasionally,  which  may  be  done  by  rubbing  Avith  fine 
sand  paper,  ground  pumice  stone  or  emory. 

It  is  best  however  to  have  the  electrodes  nickel-plated,  as  this  will  protect  them  in  a  certain 
measure. 

The  sponges,  attached  to  electrodes,  should  be  washed  in  warm  water,  or  changed  with  new 
ones  from  time  to  time. 

By  having  a  good  supply  of  Beard's  electrode  covers  (fig.  364),  they  can  be  changed  after 
using  them  a  few  times  and  washed  like  towels  weekly,  or  they  may  be  cast  aside  entirely,  the 
cost  of  making  them  being  very  slight. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


110 


Part  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELEOTEO-THEEAPEUTIO. 

ELECTROLYSIS. 

Decomposition  of  compound  substances  by  electricity.  Electrolytic  action  is  chiefly  ob- 
tained by  the  galvanic  current  of  batteries  consisting  of  a  considerable  number  of  elements  of 
medium  size.    Those  generally  employed  are  such  as  Stohrer's  apparatus,  16  and  32  cells. 


W  R 


Er 


U 


Electrolysis  Conductors. 

For  the  Treatment  of  Aneurism,  Varicose  Veins,  Tumors,  «&c. 

For  producing  electrolysis  in  tissues  beneath  the  skin,  fine 
needles  of  gold,  gilded  steel  or  platinum  are  used.  Gold  and 
platinum  resist  oxidation  better  than  any  other  metal.  The 
needles  are  insulated  with  hard  rubber,  collodion  or  shellac 
about  two-thirds  or  more  of  their  length,  so  that  when  intro- 
duced into  a  tumor  they  do  not  act  on  the  skin.  Hard  rub- 
ber is  preferable  for  insulating.  Geo.  Tiemann  &  Co.  make 
these  needles  very  fine  and  without  any  shoulder.  The  rubber 
being  baked  on  and  highly  polished,  they  are  flush  with  the 
metal  and  very  easy  to  introduce. 

It  is  believed  that  the  electrode,  connected  to  the  positive 
pole  of  a  galvanic  battery  and  applied  to  the  body,  acts  like 
an  acid — hardening  the  tissue  :  the  negative  pole  acting  like 
an  alkali — causing  increase  of  fluid.  Tumors  have  also  been 
resolved  by  magneto-electricity,  hydrocele  successfully  treated 
by  f arado-puncture,  poisonous  metals  removed  from  the  body 
by  electro-chemical  baths. 

Fig.  393.— Trocar-Pointed  Electrolysis  Needles. 


bo 


rb       '^ 


(^    -9 


P5 


^ 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Paut  I. 
67  CHATHAM  STREET,  NEW  YORK. 


Ill 


ELEGTEO-THEEAPEUTIO. 

Fig.  393.— Rockwell's  Needle  Holder  and  Needles,  for  Electrolysis, 


&§   & 


Fig.  394. — Beard's  Long  Cutting  Needles,  for  Electrolysis  of  the  Base. 


These  Needles  are  attached  to  connecting  wires  by  fine  flexible  copper  wire.  This  is  useful 
for  many  purposes  of  connection,  and  when  the  thumb-screws,  are  out  of  order  or  broken  off  it 
very  well  supplies  their  place. 


ELEOTEO-SUEGEEY. 

GALVANO-CAUTEKY. 

Galvano-Cautery  is  employed  for  removing  cancerous,  vascular  and  other  tumors,  for  cauter- 
izing hemorrhoids,  fistulous  openings  and  ulcers,  for  performing  tracheotomy,  amputations  of 
the  tongue  and  neck  of  the  uterus,  and  for  destroying  neuralgic  nerves,  &c.,  and  has  the  fol- 
lowing advantages  over  other  modes  of  operating  :  absence  of  the  hemorrhage  usual  with 
cutting  instruments,  the  cauterizing  effects  can  be  localized  to  parts  that  are  not  easily  accessible 
to  other  instruments,  and  freedom  from  pain  after  the  operation.  The  instruments  employed 
are  based  on  the  principle  of  heating  a  resisting  wire  by  the  galvanic  current.  Platinum  is  the 
material  best  adapted  to  construct  the  electrodes,  as  it  offers  a  greater  resistance  to  the  passage 
of  the  electric  current  than  other  metals,  and  cannot  easily  be  burnt. 

For  Galvano-Cautery  electrical  intensity  and  quantity  is  required,  to  accomplish  which  the 
batteries  made  heretofore  were  bulky,  inconvenient  and  expensive.  Dr.  Dawson  has  succeeded 
in  constructing  the  most  efficient  and  most  portable  apparatus,  for  which  we  obtained  the 
Prize  Medal  at  the  Centennial  Exhibition  of  Philadelphia,  a  description  and  cut  of 
which  follows. 


r.  A.  Stohlmann. 


Edward  Pfarre. 


112 


Part  I. 

GEO.  TIEMANN  &  CO/S  SURGICAL  INSTRUMENTS, 


ELECTEO-SUEGERY. 

Fig.  3S)5. — Dawson's  Galvano-Caustic  Battery. 


The  adjoining  woodciits  represent  a  gal- 
vanic batterj%  made  on  a  principle  devised 
by  Dr.  B.  F.  Dawson,  of  New  York  city.  It 
is  entirely  novel  in  construction,  more  per- 
fectly reliable,  durable,  and  powerful  than 
any  other  battery  of  similar  size  and  cost, 


and  for  simplicity  of  construction,  facility  in 
working,  and  for  continuance,  uniformity  and 
intensity  of  its  power,  has  no  superior.  These 
advantages  over  other  batteries  lie  in  the 
principle  of  construction,  and  the  means  for 
preventing  and  overcoming  what  is  known 
as  "polarization"  of  the  battery,  the  occurrence  of  which  in  all  small  batteries  has  heretofore  ren- 
dered them  unreliable  and  useless.  The  battery  is  composed  of  but  two  cells,  in  each  of  which 
are  two  positive  (zincs)  and  one  negative  (platinum)  plate,  all  measuring  but  4i^  by  6  inches. 
The  zincs  (A)  are  perforated,  and  adjusted  but  half  an  inch  apart,  and  between  them  a  platinum 
■  plate  is  placed  and  held  in  position  by  uprights  (B).  On  each  side  of  the  platinum  plates  are 
hard  rubber  or  celluloid  pumps  or  agitators  (C),  worked  by  means  of  a  small  knob.  B  and  B 
are  the  connecting  screws,  and  F  a  knob  for  lifting  the  battery  out  of  the  cells.  The  entire 
battery  requires  but  two  and  a-half  pints  of  fluid,  with  which  amount  it  will  keep  up  a  most 
powerful  action,  long  enough  for  the  most  prolonged  operation,  by  the  moving  up  and  down  of 
the  pumps  (C),  which,  according  to  the  intensity  of  the  heat  desired  are  moved  more  or  less 
quickly.  By  this  action,  the  old  and  exhausted  fluid  between  the  plates  is  thrown  out  through 
the  perforations,  and  fresh  fluid  is  made  to  take  its  place;  thus  keeping  up  a  uniform  power, 
equal  in  intensity  and  constancy  to  that  obtained  from  the  large  imported  batteries.  In  conse- 
quence of  its  power  it  has  been  found  necessary  to  make  special  platinum  cautery  instruments 
of  heavier  metal  to  accompany  this  battery.  Batteries  have  already  been  ordered  by  many  of 
the  most  eminent  surgeons  and  physicians,  in  place  of  others  of  foreign  and  domestic  manu- 
facture, which  latter  they  pronounce  infei'ior  to  this  in  portability,  simplicity,  reliability,  power 
and  compactness.  T/ie  entire  battery,  with  polished  wood  case,  measures  SJ-^  inches  in  height,  G 
inches  in  width,  and  4  inches  in  depth  from  front  to  back.  Each  battery  will  be  fully  guaranteed 
to  prove  all  that  is  claimed  for  it.  Directions,  &c.,  accompany  each.  In  ordering  platinum 
cauterjr  knives  and  wire,  it  Avill  be  best  to  state  for  what  class  of  operations  it  is  designed  to  use 
them,  for  thus  satisfaction  will  be  more  perfectly  secured.  .  The  principle  upon  which  this  battery 
is  constructed  being  applicable  to  all  galvanic  batteries,  for  wihatever  use,  icas  patented  Sept.  1th,  1875, 
No.  167,510. 


F.  A.  Stohlmann. 


Edward  Pfarre, 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


lU 


ELEOTEO-SUEGEEY. 

Fig.  896. — Dawson's  Universal  Cautery  Electrode. 


The  above  woodcut  represents  a  Univei&al  Electiode  foi  galvanic  cautery  operations.  Of 
the  simplest  mechanism,  it  also  combines  strength,  lightness,  durability  and  perfect  reliability, 
either  as  a  galvanic  cautery  ecraseur,  or  cautery  knife,  needle  or  applicator. 

A  is  a  solid  hard  rubber  handle,  through  which  pass  the  conducting  rods  G  C,  connected  witli 
the  conducting  wires  at  B.  The  rods  CO  being  hollow  half  their  length,  admit  of  the  rods 
running  from  the  ivory  tip  E  to  slide  in  and  out  like  a  telescope,  which  they  are  made  to  do 
by  turning  the  small  wheel  F.  This  telescoping  of  the  rods  keeps  up  perfect  current  connection, 
and  at  the  same  time  causes  a  slow  contraction  of  the  wire  cautery  loop  at  E,  the  ends  of  the 
wire  being  secured  in  the  ivory  clamps  Q  on  the  rods  G  G.  The  current  is  regulated  or  cut  off 
and  on  from  the  battery  by  the  screw  D. 

The  small  illustrations  show  three  of  the  cautery  instruments  accompanying  the  handle,  and 
which  are  used  by  withdrawing  the  tip  E  with  its  rods  and  adjusting  the  individual  cautery  in- 
struments that  may  be  requisite  into  the  open  ends  of  the  rods  C  G. 

Fig.  397. — Galvano-Cautery  Sling  and  Platina  Wire. 


The  loop  is  formed  of  flexible  platinum  wire,  and  may  be  of  any  size.  By  turning  the  wheel 
on  the  handle,  the  loop  is  contracted,  and,  being  heated  by  the  battery,  cuts  the  tumor  off  gra- 
dually. The  instrument  is  applied  cold,  it  becomes  heated  instantly  at  the  moment  the  circuit 
is  completed,  which  is  done  by  attaching  the  wires  in  the  socket  at  the  extremity  of  the  handle. 


Fig.  398. — Schi'oter's  Laryngeal  Cautery  Electrodes. 


For  removing  laryngeal  poljqDi. 

No.  1.  Snare  of  jilatinum  wire. 

2.  Lancet. 

3.  Porcelain  burner. 

4.  Knife. 

5.  Voltolini's  knife. 

6.  Blunt  cautery. 

The  Electrode  is  encased  in  hard  rubber,  sea-horse  mounted. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


114 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ELEOTEO-SUEaEEY. 

The  handle  of  Schroter's  Galvano-Cauteiy  Electrode  (Fig.  398)  is  made  of  hard  rubber,  pro- 
vided in  front  with  metallic  sockets,  isolated,  for  the  reception  of  the  cautery  points.  One  of 
these  connects  with  the  thumb  ring  on  the  posterior  extremity,  the  other  with  the  ferule  next 
to  the  hard  rubber  ;  these  are  isolated  by  a  hard  rubber  hollow  cjdinder,  and  kept  apart  by  a, 
spiral  spring.  Each  of  these  tAvo  ferules,  which  are  movable  around  their  axes,  is  provided  with 
a  pivot  for  the  reception  of  the  sockets  of  the  conducting  wires  of  the  battery.  To  use  the 
No.  1  instrument,  platina  wire  of  proper  thickness  is  taken,  formed  into  a  sling,  and  the  ends 
fastened  under  the  heads  of  the  screws  of  the  draw-slide.  The  thumb  is  then  placed  into  the 
ring,  the  handle  held  between  the  index  and  middle  fingers,  and,  by  approximating  them,  the 
sling  is  first  tightened  on  the  object,  then  the  ferules  are  brought  into  contact,  which  closes  the 
chain  and  heats  the  points  instantly.  As  soon  as  the  tension  is  relaxed,  the  chain  is  broken,  and 
the  instrument  becomes  cold. 

The  ferules  are  made  movable  around  their  axes  for  the  purpose  of  allowing  the  conducting 
wires  to  accommodate  themselves  to  taking  a  downward  course,  that  they  may  not  impede  the 
free  manipulation  of  the  instrument.  The  advantage  thus  obtained  is  that  it  can  be  used  with 
one  hand. 

AN51STHETI0. 

Fig.  399.— Lente's  Modified  Ether  Inhaler. 

A  person  thoroughly  conversant  with  the  use  of  ether  can  succeed  quite  well,  though  with 
a  waste  of  the  drug  and  greater  annoyance  to  the  operator  and  assistants,  with  an  extemporized 
apparatus,  a  towel  and  stiff  paper  formed  into  a  cone,  or  a  cup  sponge  enveloped  in  some  im- 
pervious material.  The  great  objection,  however,  to  a  soft  apparatus  is  that  its  air  space  is 
liable  to  be,  and  almost  invariably  is,  much  contracted  during  the  struggles  of  the  patient  by 
the  pressure  exerted  upon  it  either  by  the  administrator  or  the  patient  who  frequently  clutches 

it  and  gets  it  out  of  shape,  and  by  losing  its  stiffness  from  other 
causes,  so  that,  as  the  writer  has  not  unfrequently  seen,  the 
patient's  struggles  are  mainly  caused  by  having  but  little  chance 
to  breathe  either  air  or  ether.  The  writer  formerly  contended 
that,  in  using  the  inhaler,  the  admixture  of  air  should  be  pre- 
vented as  far  as  possible.  This  was  owing  to  the  imperfect 
fitting  of  the  different  parts  of  the  instrument,  and  of  the 
cushion  to  the  face,  more  air  than  necessary  being  thus  admitted. 
With  the  present  apparatus,  however,  its  improved  shape,  and 
better  fitting  cushion,  all  entrance  of  air  may  be  prevented, 
which  was  never  considered  desirable.  An  arrangement  is, 
therefore,  made  for  the  admission  of  more  or  less  air  at  the  apex 
of  the  cone.  But  at  the  same  time,  the  writer  adheres  to  his 
original  idea  that  but  little  air  should  be  admitted  after  the 
13atient  is  able  to  breathe  loitli  tolerable  facility — ^that  is,  if  we 
desire  rapid  etherization,  which  is  not  desirable  if  the  operation  is  to  be  a  protracted  one. 

The  present  instrument  resembles  very  much  the  face-piece  of  Waldenburg's  apparatus  for 
condensing  and  rarifying  air;  and  the  idea  of  using  sheet  brass  and  the  india-rubber  aw'-cushicn 
was  indeed  taken  from  it.  But  the  air-cushion  is  a  failure,  as  almost  all  inflated  things  are, 
without  an  improvement  suggested  by  the  writer,  the  stuffing  of  the  tube  first  with  hair,  so 
that,  when  the  air  leaks  out,  the  cushion  Avill  still  retain  sufficient  of  its  rotundity  to  fit  the  face 
air-tight.  When  it  is  to  be  used,  a  handkerchief,  or  piece  of  sheet  lint,  &c.,  is  stuffed  into  the 
cone,  a  wire  or  whalebone  arrangement  slipped  in  to  keep  it  off  the  face,  and  it  is  ready.  There 
is  a  Jiole  in  the  stopper  to  admit  air,  and  if  more  air  is  needed  the  stopper  can  be  removed.  The 
ether  can  be  poured  in  the  opening  at  the  apex,  in  case  it  is  undesirable  to  remove  the  cone 
from  the  face,  or  throw  it  on  the  cloth.  Its  cleanliness  is  perfect,  as  a  different  piece  of  cloth 
may  be  used  each  time. 


F.  A.  Stchlmann. 


Edward  Pfarre, 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK.  115 


ANJESTHETIO. 

Fig.  400.— Squibb's  Ether  Inhaler. 

{Extract  from  Transactions  of  the  Neiv  York  State  J'e'.lical  Socieli/,  1871.) 

The  apparatus  consists  of  an  liour- 
glass  shaped  muslin  bag,  which, 
when  laid  flat,  is  about  twenty  inches 
long  by  nine  inches  wide  at  the  widest 
part,  one  end  of  which  is  cut  off  so  as 
to  be  funnel-shaped,  and  open  to  re- 
ceive the  lower  part  of  the  face.  This 
funnel-shaped  mouth  of  the  bag  is  of 
such  a  size  as  to  admit  the  nose, 
mouth,  chin  and  beard  of  an  adult  male,  and  may  be  adapted  to  any  smaller  face  by  turning  it 
back  like  a  cuff.  The  muslin  of  this  end  of  the  bag  is  double,  to  afford  additional  obstruction 
here  to  the  passage  of  air  and  ether  vapor.  The  narrow  part  of  the  bag  is  made  elongated,  so 
as  to  receive  a  tin  tube  about  seven  inches  long  and  two  inches  in  diameter.  And  the  bottom 
of  the  bag  or  round  end  is  made  of  such  a  size  that,  when  moderately  distended,  it  holds  say 
fortjr  or  fifty  cubic  inches,  or  more  than  is  necessary  for  a  full  inspiration. 

When  about  to  be  used,  this  bag  is  thoroughly  wetted  in  water,  and  squeezed  so  that  it  does 
not  drip,  for  the  purpose  of  rendering  it  only  partially  pervious  to  air  and  ether  vapor.  It  is 
not  certain  that  an  impervious  bag  would  not  answer  as  well,  but  it  would  be  more  difficult  to 
obtain,  more  expensive,  less  cleanly,  and,  perhaps,  less  safe.  The  sole  object  of  the  tin  tube  is 
to  keep  the  narrow  portion  of  the  bag  distended  while  in  use.  A  piece  of  flannel  about  six  and 
a-half  inches  wide  and  eighteen  inches  long,  and  a  piece  of  thick  blotting  paper  or  blotting 
card  of  the  same  size  as  the  flannel,  completes  the  apparatus.  The  flannel  is  laid  upon  the 
blotting  board,  and  the  two  are  rolled  up  together  into  a  roll  or  spiral  which  will  slip  into  the 
tin  tube,  and  when  there  spring  ovit  sufiiciently  to  retain  its  place  loosely.  A  two  ounce  gra- 
duated measure,  and  a  can  or  bottle  of  ether,  are  all  that  are  now  required  for  the  anaesthesia. 
The  patient  is  to  be  anaesthetized  by  fasting,  takes,  about  fifteen  minutes  before  the  time  set 
for  the  operation,  a  fluid  ounce  or  a  fluid  ounce  and  a-half  of  brandy  or  whiskey,  if  an  adult 
male,  or  two  fluid  ounces  of  wine,  if  a  female.  This,  upon  an  empty  stomach,  will  produce 
slight  intoxication  in  about  ten  minutes,  and  the  ansesthetic  lias  only  to  supplement  this  in  order 
to  get  quickly  through  the  stage  of  excitement  in  many  cases.  It  also  renders  retching  less 
likely  to  occur.  The  patient  is  then  placed  quietly  on  the  table,  and  is  advised  in  a  slow,  quiet 
tone,  to  be  composed  and  perfectly  still.  He  is  told  that  he  will  soon  begin  to  feel  intoxicated, 
or  excited  and  restless;  that  this  is  very  much  under  his  control,  and  that  the  more  he  resists  it 
the  sooner  he  will  be  asleep.  If  this  advice  be  given  with  tact  and  skill,  it  will  be  well  received, 
and  be  of  service  in  a  majority  of  cases.  The  manipulator  is  then  to  wet  the  bag  thoroughly, 
squeeze  out  the  water  until  it  no  longer  drips,  slip  the  empty  tin  tube  into  its  place  in  the  nar- 
row part  of  the  wet  bag,  and  then  prepare  the  charge  of  ether.  This  may  be  done  in  several 
ways ;  but  perhaps  the  best  way  is  to  pour  the  measured  quantity  of  ether  into  a  tumbler,  and 
having  allowed  the  roll  of  flannel  and  blotting-board  to  expand  itself  to  nearly  the  size  for  the 
tin  tube,  dip  first  one  end  and  then  the  other  into  the  ether  until  the  ether  is  all  taken  up,  and 
then  at  once  slip  the  charged  roll  into  its  place  in  the  tin  tube,  the  latter  being  already  in  its 
place  in  the  wet  bag.  Then  fold,  first  one  end  of  the  wet  bag  and  then  the  other,  up  over  the 
part  which  holds  the  tin  tube,  so  that  both  ends  of  the  tin  tube  may  be  closed  up  by  the  wet 
muslin  to  prevent  loss  of  ether,  and  then  lay  it  aside,  ready  for  use  at  any  moment.  The  loss 
of  ether,  while  thus  laying  ready,  is  very  small,  not  over  a  fiuid  drachm  in  half  an  hour.  The 
quantity  of  ether  for  the  first  charge  should  vary  with  the  estimated  sensibility  of  the  patient. 
For  an  adult  man  one  and  a-half  to  two  fluid  ounces,  and  for  females  and  sensitive  males  one 
to  one  and  a-half  fluid  ounce  is  sufficient,  if  the  ether  be  good;  for  children,  a-half  to  one  fluid 
ounce.  In  the  anaesthesia  of  children,  and  in  many  exceptional  cases,  no  general  rule  can  be 
laid  down;  and,  indeed,  the  circumstances  of  each  case  must  always  modify  each  application. 

F.  A.  Stohlmann.  Edward  Pfarre. 


116 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ANiESTHETIO. 


Fig.  401.— Allis'  Ether  Inhaler. 

The  apparatus  consists  of  a  wire  frame-work,  sufficiently  large  to  cover  the  lower  part  of 
the  face.  The  wires  are  parallel,  and  about  an  eighth  of  an  inch  apart.  Between  the  wires, 
from  side  to  side,  a  strip  of  bandage  two  and  oue-half  inches  wide  is  passed.  The  instrument 
is  only  about  four  inches  long  and  three  inches  at  its  greatest  width,  and  yet  it  consumes  more 
than  three  yards  of  bandage  when  passed  between  all  the  wires.  By  further  reference  to  the 
figure  it  will  be  seen  that  each  section  of  the  bandage  is  separate  from  the  adjoining  one,  thus 
permitting  the  air  to  pass  freely  to  both  sides  of  it. 

Its  advantages  are  these :  The  ether  being  verj^  thoroughly  mixed 
with  air,  the  patient  does  not  suffer  from  the  suffocation  usually 
felt  at  first  inhaling;  there  is  a  large  evaporating  surface.  A  very 
much  smaller  quantity  of  ether  is  used,  and  less  escapes  into  the 
room  than  with  the  usual  mode  of  giving  this  anaesthetic;  the 
ether  can  be  dropped  from  a  bottle  on  the  distal  end  of  the  inhaler, 
without  removing  it  from  the  face;  the  mask  is  soft  and  pliable, 
fitting  accurately  to  the  nose  and  mouth ;  and,  lastly,  it  is  of  very 
simple  construction,  and  cannot  get  out  of  order. 

Over  this  frame  is  drawn  a  piece  of  stout  sheet  india-rubber, 
or  patent  leather,  which  has  been  stitched  together  at  the  edges, 
so  as  to  make  a  covering  for  the  frame,  projecting  over  one  end 
two  inches,  to  form  the  mask,  and  at  the  other  one  inch.  The 
ether  is  poured  on  the  bandage,  which  forms  a  close,  well-made 
artificial  sponge. 

My  mode  of  using  it  is  as  follows  :  Placing  it  over  the  face,  I  sprinkle  on  a  feio  drops  of 
ether — I  mean  literally  but  a  few  drops.  In  a  few  seconds  I  add  a  few  more  drops  ;  and  usually 
in  from  half  a  minute  to  a  minute  I  find  that  I  can  drop  it  more  constantly.  Ao  soon  as  I  notice 
ilie  dee])  inspirations,  I  pour  on  a  small  stream,  watching  carefully  least  I  irritate  the  larynx,  and 
as  soon  as  I  find  the  patient  tolerant  of  its  vapor,  I  add  it  in  larger  quantities,  and  as  rapidly 
as  can  be  evaporated,  and  am  usually  gratified  by  seeing  my  patient  pass  quietly  under  its  in- 
fluence from  three  to  ten  minutes. 

The  instrument  is  especially  serviceable  when  a  prolonged  use  of  ether  is  required.  A  slight 
dripping  will  suffice  to  prolong  the  effect,  and  economy  of  ether,  though  not  a  great  desideratum, 
is  still  worthy  of  consideration. 


Fig.  402. — Chisolm's  Pocket  Ether  Inhaler. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM   STREET,  NEW  YORK. 


117 


ANJGSTHETIG. 

Fm.  403.— Cheatham's  Ether  Inhaler. 

It  operates  by  Lente's  method  of  replenishing  the  evaporating  surface  -withont  removing  it 
from  the  face. 

A  patient  cannot  be  anassthetized  as  quickly  with  it  as  witli  a  common  cone,  but  with  much 
less  ether.  It  economizes  by  not  havijig  to  remove  it  from  tlie  face  to  replenish  it,  and  by  this 
you  avoid  the  disagreeable  effect  of  having  the  ether  that  would  otherwise  escape  i)8rmeating 
every  part  of  the  house  in  which  it  is  used.  Its  convenience  of 
application  is  also  quite  obvious.  The  ease  with  which  the  face- 
piece  (being  paper)  can  be  removed  immediately  after  use  and 
thrown  away  is,  I  think,  a  strong  recommendation  in  its  favor. 

This  apparatus  consists  of  a  tin  cup  (A),  holding  in  the  inside 
a  sponge  as  an  evaporating  surface,  and  connected  from  the  top 
by  rubber  tubing  with  the  bottle  that  contains  the  anaesthetic. 
This  tube  has  attached  to  its  distal  end  a  cap  {D)  that  will  fit  over 
the  neck  of  almost  any  bottle. 

Make  a  cone  of  paper,  cut  the  top  off,  so  that  when  tin  cup  (A) 
is  slipped  inside,  the  top  of  the  cup  will  protrude  a  line  or  two 
from  the  top  of  cone. 

Place  tin  cup  (B)  over  both  cup  and  cone,  screw  it  down  tightly 
by  means  of  nut  (C),  and  you  have  the  cone  held  tightly.  Attach 
tube  to  top  of  cup,  and  the  apparatus  is  complete.  The  smaller 
the  cone  the  quicker  you  can  get  the  patient  under  the  influence 
of  the  anaesthetic.  I  would  suggest,  after  the  cone  is  in  position 
the  bottom  should  be  trimmed,  leaving  a  part  of  it — we  shall  call 
it  the  back  part — that  is  intended  to  go  over  the  chin,  three  inches  longer  than  the  cup,  and 
sloping  forwards  and  upwards  leaving  the  front  part,  intended  to  go  over  the  nose,  about  an 
inch  longer  than  the  cup.     U  gives  an  inside  view  of  cup  (A). 


Fig.  404. — Speirs  George's  Inhaler  for  Angesthetics. 

The  instrument  consists  of  an  oblong  conical  cylinder,  which  folds  upon  itself.  Within  the 
cylinder  and  near  the  top  of  the  instrument,  when  extended,  is  a  pocket,  in  which  rests  the 
flannel  or  sponge  to  receive  the  anaesthetic  used.     The  pocket  is  so  constructed  that  a  continuous 

column  of  air  can  pass  between  it  and  the  sides  of  the  inhaler 
proper.  The  top  and  sides  of  the  inhaler  contain  slides,  by 
means  of  which  more  or  less  air  can  be  admitted  or  excluded  as 
required  during  the  administration  of  anj'  anaesthetic.  The  top 
of  the  pocket  is  concave  and  perforated.  The  preparation  used 
can  be  poured  through  the  top,  and  the  anaesthetic  agent,  falling 
upon  the  concave  surface  of  the  instrument,  passes  through  the 
perforations  alluded  to,  and  is  taken  up  by  the  sponge  or  flan- 
nel within  the  apparatus,  thus  enabling  the  practitioner  to 
replenish  the  instrument,  when  required,  without  removing  it 
from  the  face  of  the  patient. 

The  interior  of  the  instrument,  when  closed  (which  looks 
like  a  cup),  contains  a  bottle,  which  can  be  kept  filled  with 
chloroform,  ready  for  immediate  use  as  required — as  in  cases 
of  convulsions,  diagnosis,  obstetric  practice,  &c.  Within  the 
box  containing  the  apparatus,  is  a  flannel  sack.  This  can  be 
pulled  over  the  instrument  to  keep  it  Avarm,  when  from  long 
and  continued  use,  and  consequent  evaporation  of  the  anaes- 
thetic, it  becomes  cold.  Whenever  desired,  the  instrument  can 
be  instantlv  removed  from  the  face  of  the  patient;  and  when 
not  in  immediate  use,  the  slides  can  be  closed  and  the  apparatus 
lilaced  upon  a  pillow.  The  pillow,  being  soft,  conforms  to  the 
bottom  of  the  instrument,  retaining  the  vapor  within,  to  be 
again  used  from  time  to  time  as  required. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


118 


Part  I. 
GEO.  TIEMAKN  &  CO.'S  SURGICAL  INSTRUMENTS, 


AN^ISTHETIO. 

Fig.  405. — Morton's  Ether  Inhaler. 


It  is  a  simple  cylinder  of  leather,  of  -which  A  represents  the  face  piece,  with  thinned  and 
pliable  edges  to  admit  of  close  adjustment.  B  is  an  inlet  valve,  permitting  of  inspiration 
through  the  ether-chamber,  but  closing  against  expiration.  JD  is  the  entrance  orifice  of  a  metal 
tube  leading  through  the  wool-packed  ether-chamber  to  E,  the  exit  valve,  which  closes  with 
inspiration — opening  with  exi^iration  ;  this  tube  is  for  the  purpose  of  collecting  the  heat  of  the 
exhaled  breath  and  communicating- it  to  the  surrounding  wool,  thus  favoring  rapid  evaporation 
of  the  ether  with  which  the  wool  is  saturated.  0  is  the  opening  for  introducing  the  ether, 
one-half  a  drachm,  or  even  less,  of  which  is  sufficient  to  begin  with. 

The  Inhaler  maybe  withdrawn  from  time  to  time,  to  avoid  irritating  the  larynx,  until  the 
patient  gets  accustomed  to  the  vapor  ;  then  ether  may  be  added,  as  the  case  requires,  and  tl-.c 
patient  will  be  found  to  pass  quietly  under  its  influence. 

» 

Fig.  406. — Junker's  Methylene  Inhaler. 


The  apparatus  for  using  Methylene  as  an  anaesthetic  consists  of  a  face-piece  to  cover  the  nose 
and  mouth,  having  an  arrangement  to  admit  more  or  less  air  at  the  apex.  This  connects  by 
means  of  rubber  hose  to  one  end  of  a  double  branched  metal  tube  running  through  a  rubber 
stopper  ;  the  other  branch  of  the  metal  tube  connects  by  rubber  hose  to  a  set  of  air  bags  Avith 
valves,  such  as  are  used  for  Richardson's  ether-spray.  The  stopper  fits  tightly  a  glass  graduated 
bottle  of  15  drachms  capacity.  This  has  a  hook  attached  to  its  neck  by  which  it  may  be  held  in 
a  button-hole  of  the  operator's  coat  or  vest.  To  guard  against  being  easily  broken,  as  well  a3 
for  protecting  the  methylene  against  the  action  of  light,  it  is  covered  with  leather,  preferably 
of  yellow  or  light  blue  color,  leaving  only  the  graduated  scale  free  for  observation.  When  the 
air-bag  is  worked,  the  methylene  in  the  bottle  is  agitated  and  vapor  formed,  which  maybe 
inhaled  by  the  patient  in  the  same  way  as  usual  Avith  other  inhalers.  It  has  been  used  by 
Drs.  Junker,  Richardson,  and  others  with  more  or  less  success. 


P.  A.  Stohlmann, 


Edward  Pfarre. 


Part  L 
67  CHATHAM  STREET,  NEW  YORK. 


110 


ANJESTHETIO. 

Ftg.  407. — Richardson's  Atomizer,  for  inlialation  of  local  anaesthesia, 


After  fining  the  bottle  two-thirds  full  with  the  solution,  operate  the  end  ball  briskly;  this 
will  extend  the  netted  ball  and  force  a  cxirrent  of  air  into  the  cavity  of  the  silver  tube.  This 
column  of  air,  being  disproportionately  large  compared  with  the  aperture  of  the  tube,  becomes 
compressed  and  exerts,  first :  an  influence  upon  the  surface  of  the  fluid  (which  is  forced  by  it 
into  the  capillary  tube  ;  secondly :  a  pressui'e  upwards,  escaping  through  the  orifice  at  its  tip. 
This  continued  upward  current  of  air  divides  into  spray  the  drops  collected  at  the  extremity  of 
the  capillary  tube.  The  force  with  which  this  spray  can  be  thrown  is  surprising.  The  jet  is 
steady,  there  being  a  pretty  uniform  pressure  kept  up  by  the  regulating  power  of  the  netted 
bag,  which,  by  virtue  of  its  elasticity,  compresses  the  air  in  it  during  the  intervals  of  manipu- 
lation upon  the  hand  ball.  Our  tubes,  being  made  of  silver,  do  not  form  verdigris  (a  serious  ob- 
jection to  instruments  made  of  inferior  metals).  This  Atomizer  is  also  the  best  douche  for  bathing 
sensitive  eyes,  inflamed  sores,  &c.  Suitable  forms  made  for  the  eustachian  tubes,  uterus,  ure- 
thra, posterior  nares,  or  any  part  of  the  body  accessible  to  instruments. 

If  the  capillary  tube  should  become  obstructed,  clear  it  with  fine  soft  wire. 


ANTISEPTIC  SUEGEEY. 


Fig.  408. — Hank's  Antiseptic  Spray. 

{Extracted  from  the  Medical  Record  of  January  \Zth,  1877, 
and  American  Journal  of  Obstetrics,  April,  1877,  "'Tra/is- 
actions  of  New  York  Obstetrical  Society.^'') 

At  my  suggestion  and  direction,  Stohlmann, 
Pfarre  &  Co.,  No.  107  East  28th  Street,  have  con- 
structed the  apparatus  represented  in  the  accom- 
panying cut.  The  stand,  boiler,  and  lamp  corre- 
spond in  design  to  the  common  atomizer,  now  so 
generally  used  for  inhalation  purposes,  but  are 
much  larger.  The  open  glass  vessel  for  holding 
the  antiseptic  fluid  has  a  capacity  of  one  pint, 
and  is  held  in  position  over  the  boiler  m  a  shallow 
metal  cup.  The  latter  is  made  to  move  forward 
and  backward  by  means  of  a  thumb-screw,  which 
is  attached  to  an  erect  rod,  fastened  at  the  base  of 
the  apparatus.  The  rod  in  the  cut  is  necessarily 
concealed  from  view.  There  is  a  small  stop-cock 
arrangement  low  down  at  the  side  of  the  glass 
vessel,  thus  regulating  the  amount  of  antiseptic 
fluid  which  flows  downward  to  the  atomizing 
points.  The  long  metal  arm,  into  which  is  fast- 
ened m  the  usual  manner  the  glass  or  metal  spray- 
producer,  is  attached  to  the  boiler  by  a  kind  of 


F.  A.  Stohlmann. 


Edward  Pfarre, 


120 


Part  I. 
GEO.  TTEMANK  &  CO.'S  SURGICAL  INSTRUMENTS, 


ANTISEPTiU  SURGERY. 

elbow-joint,  thus  enabling  the  spraj^  to  be  projected  forward  at  any  angle.  The  alcohol  lamp 
has  a  large  tube  for  the  wick,  and  over  this  is  a  second  tube  which  slides  up  and  down  by 
means  of  a  ratchet.  The  handle  of  the  ratchet  is  seen  in  the  cut.  It  readily  controls  the  size 
of  the  blaze,  the  degree  of  heat,  and  the  amount  of  steam  produced.  Great  care  should  be 
exercised  in  selecting  a  suitable  atomizing  point.  With  a  proper  point  a  coarse  or  fine  spray 
may  be  produced,  according  to  the  amount  of  antiseptic  fluid  admitted  through  the  stop-cock. 
The  force  of  the  spray  will  depend  upon  the  blaze,  and  the  consequent  amount  of  steam  ;  and 
the  angle  of  the  arm  will  regulate  its  direction. 

The  apparatus  thus  constructed  will  supply  a  suitable  spray  for  two  hours'  operation,  as  the 
antiseptic  fluid  can  be  replenished  as  required.  I  claim  for  it  its  portabilitj-,  small  size,  safety, 
durability,  and  cheapness.    It  contrasts  favorably  in  every  way  with  the  Lister  or  Sass  aparatus. 


Fig.  409. — Weir's  Antiseptic   Spray. 


{The  following  extract  is  taken  from  a  paper,  read  before  the  New  York  County  Medical  Society,  on  "The  Anti- 
septic Treatment  of  Wounds,"  by  Dr.  R,  F.  Weie,  of  this  city.) 

"  The  best  spray-producer  is  that  devised  by  Lister  himself.  It  is,  however,  quite  costly, 
ranging  in  price  from  fifty  to  seventy-five  dollars,  and  it  was  to  meet  this  objection  that  the  one 
before  you  has  been  constructed.  With  its  diminished  cost  some  of  the  improvements  of  Mr. 
Lister's  lamp  have  been  sacrificed.  It  is,  however,  essentially  the  same.  Its  hollow  wick, 
readily  raised  or  lowered,  affords  a  great  and  controllable  heat.  The  spray-tube  is  in  this  appa- 
ratus fixed,  an  objection  which  in  the  majority  of  cases  is  of  no  moment.  It  will  supply  spray 
for  over  two  hours.  It  therefore  requires  only  that  the  boiler — containing  twenty-two  ounces 
— should  be,  as  well  as  the  lamp,  full  at  the  Ijeginning  of  the  operation ;  and,  with  this  precau- 
tion, it  has  been  found  practicable  to  dispense  with  the  expensive  and  tell-tale  windows  of  glass 
belonging  to  the  original  imported  instrument.  The  accompanying  woodcut  gives  a  good 
reprentation  of  this  lamp." 

Further  directions  for  its  use  have  been  supplied  us  by  Dr.  Weir,  viz. : 

"  The  lamp  should  be  filled  with  alcohol  at  the  beginning  of  an  operation  and  the  stopper 
removed  from  the  side  opening  when  the  wick  is  lighted.  Prior  to  filling  the  boiler  with  Avater 
(preferably  hot)  it  is  desirable  to  ascertain  that  the  spray-tube  is  free  by  sucking  or  blovring 
through  it,  and  also  that  the  escape-valve  works  properly.  If  the  latter  is  stiff,  a  drop  of  oil  or 
glycerine  should  be  introduced  from  above.  When  the  boiler  is  y^et  quite  full,  the  spray-tube 
should  not  be  depressed  very  much,  in  order  to  avoid  the  exit  of  hot  water.  If  the  spray-tube 
is  too  coarse,  the  end  of  the  rubber  tubing  immersed  in  the  carbolic  acid  solution  may  be  plugged 
with  cotton  or  sponge,  or  the  tubing  itself  may  be  narrowed  by  a  thread  looselj^  tied  around  it. 
Should  the  spray-tiibe  become  choked  during  an  operation,  a  small  wire,  such  as  comes  with  a 
h}^3odermic  syringe,  can  be  resorted  to,  to  clear  it." 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CIIATTIAM  STJtEET,  NEW  YORK. 


121 


ANTISEPTIC  SUEQEEY. 

Pro.  410. 
Heuel's  Anliscptic  Spray. 

{Extracted  from,  the.  Medical  Jlecord, 
May  nth,  1878.) 

The  apparatus  represented  in 
the  accompanying  cut  is  a  modi- 
fied apparatus  for  use  in  antisep- 
tic surgery.  The  modification 
consists  in  the  addition  of  two 
flexible  rubber  tubes  and  a  steam- 
chest  to  the  ordinary  atomizing 
apparatus  used  for  inhalation  pur- 
poses, and  may  be  i-eadily  attached 
by  the  physician  himself  to  any 
of  the  atomizers  now  used.  In  the  annexed  figure,  4  is  a  steam-chest,  to  the  upper  part  of 
which  is  soldered,  at  3,  the  ordinary  metal  atomizing  tubes,  and  at  the  side  a  tube,  1,  to  which 
is  to  be  attached  a  piece  of  flexible  rubber  steam  tubing,  for  carrying  steam  from  a  boiler  ; 
opposite  3  is  a  wooden  handle,  7,  for  holding  the  apparatus,  and  at  the  lowest  part  of  the  chest 
is  a  stop-cock,  5.  The  rubber  tube,  2,  delivering  the  medicated  fluid,  is  also  furnished  with  a 
stop-cock,  6,  so  that  the  amount  of  fluid  atomized  may  be  varied  at  pleasure.  The  steam  and 
water  tubes,  1  and  2,  are  held  together  by  figure-of-eight  pieces  of  wire,  so  that  they  may  be 
handled  as  if  they  were  but  one  tube. 

As  is  readily  seen,  the  length  of  these  tubes  may  be  varied  to  suit  the  occasion,  only  remem- 
bering that  the  longer  the  tubes,  the  greater  the  pressure  of  steam  required,  and  the  higher 
must  the  vessel  containing  the  medicated  fluid  be  placed,  in  order  to  deliver  it  at  the  opening 
of  the  tube,  2.  The  steam,  which  condenses  in  the  tubing  and  steam-chest,  is  allowed  to  escape, 
when  necessary,  through  the  stop-cock,  5,  so  that  the  patient  is  not  scalded  by  a  jet  of  hot  water. 
The  use  of  long  flexible  tubes,  combined  with  the  steam-chest,  permits  the  boiler  of  this 
apparatus  to  be  placed  at  such  a  distance  that  all  danger  of  explosion,  when  ether  is  used,  is 
avoided,  as  well  as  all  interference  with  the  operator.  The  force,  amount  and  direction  of  the 
spray  can  also  be  varied  at  pleasure.  In  the  ordinary  atomizers  the  whole  apparatus  must  be 
placed  unpleasantly  close  to  the  patient;  in  this  a  very  light  portion  is  readily  supported  and 
directed  by  the  hand  without  fatigue. 


Fig.  411. — Little's  Antiseptic  Spray. 

This  is  a  Tiemann's  Steam  Inhaler,  altered  at  my 
suggestion,  so  as  to  give  a  good  spray.  It  answers 
well  for  dressing  wounds.  For  large  operations,  it  is 
necessary  to  use  the  large  spray  apparatus,  this  small 
one  answering  well  for  subsequent  dressings.  Mr. 
Lister  uses  a  still  smaller  one  for  this  purpose,  which 
he  carries  in  the  pocket.  This  small  one  will  work 
for  over  an  hour.  The  best  instrument  is  the  one  which 
makes  the  finest  spray,  it  wetting  and  numbing  the 
hands  but  little,  and  causing  the  fluid  to  last  longer, 
while  producing  as  good  an  effect  upon  the  tissues. 
The  spray-tube,  in  order  to  accomplish  this,  should 
be  of  small  calibre.  Always  be  careful  to  see  that 
the  safety-valve  is  rio'ht  before  you  use  it. 


F.  A.  Stohlmann, 


Edward  Pfarrs. 


la^ 


Part  1. 
GEO.  TIEilANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


«   \ 


ANTISEPTIC  SUEGEEY, 

Fig.  412. — The  new  Safety  Tube-Cleaner  and  Plug. 

(PATENT  APPLIED  FOR.) 

L,  is  the  steam  tube,  S,  the  suction  or  solution  tube  ;  iZ",  is  a  supplementary  tube  to  which 
is  attached  the  Tube-Cleaner,  C,  and  the  catch,  V;  B,  E.  are  rubber  tubes,  the  upper  one  serving 
as  a  spring  to  keep  the  Tube-Cleaner  out  of  the  orifice.  The  catch,  V,  is  made  to  hook  over 
the  brace,  B,  as  shown,  by  pushing  up  the  tube,  H,  and  giving  it  a  slight  rotation,  when  the 
point  of  C  is  lield  in  tlie  orifice  as  a  plug.  Without  such  rotation  it  moves  up  and  down  with- 
out catching. 

This  important  addition  to  the  steam  ato- 
mizer, whereby  much  annoyance  is  avoided, 
and,  in  antiseptic  surgery,  additional  safety 
secured,  consists  of  a  nickel-plated  steel  wire 
contained  within  the  suction  or  solution  tube 
and  Avhich,  when  pushed  forward,  effectually 
and  instantly  removes  any  obstruction  from 
the  orifice. 

Tliis  cleaning  out  of  the  obstruction  instead 
of  forcing  it  back  into  the  tube,  to  again  come 
up  and  stop  the  flow,  needs  no  commendation 
from  us. 

The  elasticity  of  the  short  rubber  connecting 

tube  always  keeps  the  tube-cleaner  out  of  the 

orifice  except  when  pushed  forward,  but  by  a 

special  device  (the  hook  TO  it  may  be  held 

within  the  orifice  to  act  as  a  plug  or  stop-cock 

to  prevent  waste  of  the  solution. 

It  is  always  desirable  to  have  the  steam  jet  in  full  play  before  commencing  an  operation, 

and,  by  pushing  forward  the  Tube-Cleaner  and  securing  it  in  the  orifice,  the  full  heat  of  the 

flame  may  be  maintained  without  wasting  solution  or  covering  everything  in  the  vicinity  with 

spray. 

Theoretically  a  strainer  will  keep  the  tube  clear,  but  a  fragment  of  the  strainer  itself  or  an 
aggregation  of  particles  in  a  filtered  solution  may  at  any  moment  intervene  to  defeat  the  efforts 
of  the  most  skilful  operator  by  shutting  off  or  very  materially  diminishing  the  spray.  Any 
such  mishap  can  not  of  course  be  repaired  until  too  late. 

Though  less  imperatively  demanded  in  atomizers  for  general  use  it  will  be  found  to  be  very 
convenient  and  useful  ;  but  in  antiseptic  surgery  so  much  depends  upon  the  constancy  of  the 
spray,  it  is  presumed  that  this  very  simple  though  effective  appliance  will  be  highly  appreciated 
by  surgeons. 


Materials  for  the  Antiseptic  Treatment  of  Wounds. 

Lister's  Antiseptic  Gauze,  in  6  yard  pieces. 
Lister's  Silk  Protective,  bj^  the  yard. 

Mcintosh  "Waterproof  Cloth,  by  the  yard. 
Oiled  Muslin,  by  the  yard. 
Jaconet,  Carbolized. 

Lister's  Carbolized  Catgut,  in  bottles. 
Carbolized  Cotton. 

Borated  Cotton. 

Van  Brun's  Wound-Dressing  Cotton. 
Dennison's  Absorbent  Cotton. 

•  Animal  Ligature,  Carbolized,  Dry. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  1. 
CHATHAM  STREET,  NEW  YORK. 


123 


OPERATING  FURNITUEE. 

Fig.  418. — Mcllroy's  Surgical  Operating  Table. 


Cushion  Upholstered  in  Leather,  Irons  Nickel-Plated $125. 

It  is  in  use  in  many  hospitals,  both  in  this  country  and  Europe.  It  will  raise  one  leg  or 
both  ;  it  will  raise  the  head,  put  the  patient  back  or  forward  ;  it  will  spread  the  limbs  and  raise 
the  pelvis  for  lithotomy,  or  any  operation  on  the  perinseum.  For  any  important  case  in  surgery 
it  is  a  convenience  to  the  operator  and  facilitates  the  operation. 


Fig.  414. — Knapp's  Ocuhst's  Operating  Chair. 

Designed  by  Prof.  H.  Knapp.  It  will  put  the 
head  in  any  position  ;  it  will,  by  means  of  two 
jaws,  hold  the  head  steady  ;  the  back  will  rise  to 
suit  the  height  ;  it  will  lower  down  the  back  or 
place  at  any  incline  ;  the  seat  will  rise  and  the 
back  will  lower  to  operate  on  a  child  ;  foot-piece 
rises  up  and  draws  out  to  support  the  limbs. 


Upholstered  in  Leather,  Irons  Nickel-Plated |70. 


F.  A,  Stohlmann, 


Edward  Pfarre. 


124 


Part  I. 
GEO.  TTEMANN  &  CO.S  taUllGICAL  INSTRUMENTS, 


OPEEATma  PUENITUEE. 

Fig.  415. — Mcllroy's  Speculum  or  Upui  ;itiug  Chair. 


Price 


A  convenient  chair  for  operations  on  the  peringeum.  It  will  raise  one  leg  or  both  ;  it  will 
lower  the  back  to  any  incline  ;  it  will  spread  the  limbs  and  raise  the  pelvis  ;  it  is  perfect  in  its 
movements  and  every  part  effectual.  It  stands  sufficiently  high  for  the  convenience  of  the 
operator.  The  Chair  is  made  of  black  walnut,  covered  in  leather,  all  irons  nickel-plated,  the 
seat  having  loose  cushion  which  can  be  removed  at  will. 


F.  A,  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK. 


125 


OPEEATmG  FUENITURE. 

Fig.  416.    Bozeman's  Operating  Chair. 


For  placing  and  securing  the  patient  in  the  knee-elbow  position  for  the  operation  of  Vesico 
Yaginal  Fistula,  Vaginal  Ovaritomy,  &c. 

This  apparatus  not  only  completely  secures  the  patient  in  this  position,  by  straps  and  1  races, 
but  renders  it  perfectly  comfortable  for  any  length  of  time,  and  also  favors  the  administration 
of  an  anaesthetic. 

Fig.  417.    Foster's  Gynsecological  Operating  Table. 


^m^, 


When  all  the  drawers  and  doors  are  closed  it  may  be  used  as  an  office  table  or  writing  desk, 
and  will  not  take  up  much  room.  The  patient  may  be  put  in  any  position  required  for  exam- 
ination or  operation,  and  kept  comfortable. 

The  drawers  afford  ample  room  to  keep  a  complete  armamentarium  and  have  it  handily 
arranged  during  an  operation. 

P.  A.  Stohlmaniio  Edward  Pfarre. 


126 


Pakt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


Fig.  418. — Fuller's  Pocket  Medicine  Cases,  designed  for  Squibb's  Standard 
Phavmaceutical  Preparations. 


Poclset  Medicine  Case. 
Style  4. 


Pocket  Medicine  Case. 
Style  3. 


Pocket  ]\Iedicine  Case. 
Style  3. 


A.  Stohlmann 


Edward  Pfarre. 


Part  I. 
67  CHATHAM  STREET,  NEW  YORK.  127 


On  Pocket  Medicine  Cases,  by  Robert  M.  Fuller,  M.  D.,  New  York.    (Fk;.  418.) 

"  The  frequent  need  which  physicians  experience  of  having  at  hand,  in  night 
calls  and  emergencies,  the  necessary  means  of  affording  prompt  relief,  has 
suggested  the  designing  of  a  pocket  case  which  shall  possess  the  foUowing 
important  features  essential  to  render  it  of  practical  utility  at  the  bedside,  viz.: 
accuracy  in  dispensing,  the  ready  and  proper  labeling  of  the  medicines  dispensed, 
as  well  as  of  the  vials  in  the  pocket  case,  and  lastly,  compactness  and  durability 
of  case. 

ACCURACY    IN    DISPENSING. 

For  Standard  Liquid  Preparations,  such  as  those  manufactured  by  E.  R. 
Squibb,  M.  D.,  of  Brooklyn,  N.  Y.,  accurate  dispensing  can  be  secured  by  the 
use  of  a  minim  pipette  or  minim  measure.  The  former  may  prove  more  conve- 
nient when  dispensing  5,  10,  or  15  minims,  and  the  latter  when  disj^ensing  20, 
30,  or  40  minims. 

When  it  is  desirable  to  dispense  powders,  it  will  be  found  that  the  so-called 
compressed  pills,  (or  compressed  powders,)  such  as  Pil :  Calomel,  gr.  Y.,  or  Pil : 
Morphia  sulphatis,  gr.  ^,  manufactured  by  Wyeth  &  Bro.,  of  Philadelphia,  can 
be  easily  reduced  to  powder  by  gentle  pressure  and  subdivided  if  desired. 

When  pills  are  used,  medium-sized  ones  will  be  best  suited  to  the  vials. 

READY    AND    PROPER    LABELING    OF    MEDICINES    DISPENSED,    AS    WELL    AS    OF    THE 

VIALS    IN   THE    POCKET    CASE. 

By  writing  the  date  and  directions  plainly  upon  an  adhesive  label — which 
may  also  be  insci-ibed  with  the  number  and  name  of  the  patient — the  latter  can 
readily  be  attached  to  the  covered  glass  containing  the  medicine  dispensed,  thus 
preventing  errors  by  supplying  a  complete  prescription. 

Physicians  who  preserve  a  copy  of  their  prescriptions,  can  also  retain  copies 
of  those  thus  given. 

The  envelopes  for  powders  or  pills  being  also  printed  with  number,  date  and 
directions,  copies  of  them  can  be  preserved  with  equal  facility. 

A  double  sheet  of  adhesive  labels,  eighty-eight  of  which  are  printed  and 
twenty-two  blank,  should  accompany  each  case. 

COMPACTNESS    AND    DURABILITY    OP    CASE. 

The  style,  size  and  finish  of  a  pocket  case  is  a  matter  of  convenience  or  taste. 
In  this  instance,  the  "box"  case  has  been  selected,  and  its  thickness  reduced  to 
the  minimiini,  so  that  it  is  not  only  neat  in  appearance,  but  also  convenient  to 
carry  on  all  occasions.  From  its  construction  it  would  seem  to  be  the  most 
durable,  the  easiest  opened  and  closed,  and  best  calculated  to  protect  its  contents 
from  injury.  It  is  encased  in  durable  leather  and  provided  with  the  finest  kind 
of  spring-catch. 

Lastly,  the  size  of  the  vial  selected,  a  medium  ^ij,  renders  it  well  adapted  for 
liquids,  pills,  or  powders,  and  of  sufficient  size  for  ordinary  occasions.  If,  how- 
ever, larger  quantities  are  required,  duplicate  vials  might  prove  preferable  to 
some  of  double  size. 

Any  number  of  vials  being  once  labeled,  selection  can  be  made  from  them  as 
desired,  and  the  case  re-arranged  at  pleasure." 

I?   A.  Stolilmann.  Edward  Pfarre. 


128 


Part  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


Adhesive  Vial  Labels  for  Puller's  Pocket  Medicine  Cases. 

The  sheet  of  labels  previously  referred  to,  embraces  the  appended  list  of 
Squibb's  Preparations,  from  which  each  physician  can  readily  select  those  medi- 
cines which  would  prove  most  useful  in  cases  of  emergency. 

Compound  Tincture  of  Ipecacuanha,  each 
minim  equal  to  1  grain  of  Dover's  Pow- 
der. 

Deodorized  Tincture  of  Opium. 

Compound  Solution  of  Opium. 

Compound  Tincture  ^f  Opium,  or  Diarrhoea 
Mixture. 

Compound  Spirit  of  Etlier,  or  Hoffman's 
Anodyne. 

Purified  Chloroform. 


Fluid  Extract  of— 
Aconite  Root. 

American  Hellebore,  or  Veratrum  Viride. 
Aromatic  Powder. 
BcUadonna  Leaf. 
Belladonna  Root. 
Buckthorn  Bark. 
Digitalis. 
Ergot. 
Gelsemium. 
Indian  Hemp. 
Ipecacuanha. 
Nux  Vomica. 
Podophyllum. 
Rhatany. 
Rhubarb. 

Senna  Compound. 
Yalcrian. 

(1  minim  of  each  of  above  represents  1  grain.) 

Solution  of — 

Chloral,  1  grain  to  the  minim. 

Sulphate  of  Morphia,  Magendie's,  gV  grain 

to  the  minim. 
Sulphate  of  Atropia,  4  grains  to  the  fluid 

ounce. 
Sulphate  of  Quinia,  ^  grain  to  the  minim. 
Sulphate  of  Zinc,  10  grains  to  30  minims. 
Subsulphate  of  Iron. 


Tincture  of  Chloride  of  Iron. 

Pills  of  Aloes  and  Mastic,  Lady  Webster's 

Dinner  Pills. 
Pills  of  Arsenious  Acid,  -^  grain  in  each 

pill. 
Pills  of  Opium,  1  grain  each. 
Pills  of  Sulphate  of  Quinia,  3  grains  each. 
Pills  of  Sulphate  of  Quinia,  2  grains  each. 
Pills  of  Sulphate  of  Quinia,  1  grain  each. 
Compound  Cathartic  Pills. 
Mercurial,  or  Blue  Pills. 
Podophyllum  Pills. 
Compound  Pills  of   Scammony,  or  Triplex 

Pills. 
Nitrite  of  Amyl.  / 

Calomel. 
Mercury  with  Chalk. 


Fig.  419.— a,,  b,  Medicine  Chests. 


a  ticm/IlNN 


Medicine  Chests  made  of  the  best  Russet  Leather. 

No.  1  contains  3  Jars  and  20  "Vials. 
"2         "         3  "         28      " 

"3         "         4  "         35       " 

"    4         "       12  1  oz.  Vials,  glass  stoppers. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Paut  I. 
67  CHATHAM  STREET,  NEW  YORK. 


129 


MEDICAL  SADDLE  BAGS. 


Fig.  430.     Saddle  Bat; 


Made  of  the  best  russet  leather,  patent  leath- 
er covers,  space  for  instruments  under  the 
cover,  walnut  drawers  in  the  lower  part. 

16  11^  oz.  Vials,  Glass  Stoppers. 

20  \%  " 

24  11^  "        "         "  " 


Fig.  421.     Saddle  Bag. 


'^.     \ 


Flat  Pattern. 

16  13>^  oz.  Vials,  Glass  Stoppers,  Russet  Leather, 

Patent  Leather  Flaps. 
20  13^  oz.  Vials,  Glass  Stoppers,  Russet  Leather, 

Patent  Leather  Flaps. 
24  11^  oz.  Vials,  Glass  Stoppers,  Russet  Leather, 

Patent  Leather  Flaps. 


Fig.  422.     Saddle  Bag. 


Box  Pattern,  with  Trays  to  lift  out. 

16  1  oz.  Ground  Stop  Bottles. 
20  1    "  "      -     " 

24  1   « 


P.  A.  Stohlmanu. 


Sdward  Ffarre. 


ISO 


Pakt  I. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


OSTEOLOaiOAL. 


Fig.  433.    Human  Skeleton. 


SKELETONS. 

Articulated  by  means  of  brass  screws. 
Grades:  1,  3,  3. 


SKULLS. 

Plain  and  disarticulated. 


FEMALE    PELVES. 

W  ithout  ligaments. 
With  ligaments. 


FEET. 

Stmng  on  catgut. 

HANDS. 

Strung  on  catgut. 


BRASS    SCREWS   AND 
HINGES. 


For  joining  slieletons. 


AUZOUX'S  ANATOMICAL  MODELS 

Imported  to  order. 
F.  A.  Stohlmann. 


Edward  Pfarre. 


Pakt  1. 
61  CHATHAM  STREET,  NEW  YORK 


131 


ASPIRATORS. 

A  descriptive  pamphlet  on  Aspirators  may  be  had  on  application,  together  with  directions 


how  to  Iteep  tliem  in  order. 


Fig.  434.    Dieulafoy's  Aspirator. 


Fig.  425.    Hospital  Aspiratoj-. 


The  largest  Aspirator  in  general  use.  Its  arrangement  is  such  as  to  leave  both  hands  of  the 
operator  free  to  perform  any  manipulation  which  may  be  found  necessary.  The  rack-and- 
pinion  movement,  by  increasing  the  power,  admits  of  the  piston  being  more  tightlj'  packed,  and 
hence  a  more  perfect  vacuum  is  obtained  for  exhausting,  and  enables  to  wash  out  the  cyst, 
without  the  necessity  for  removing  the  needle.  The  syringe  and  needles  are  exquisitely  fitted 
and  finished. 

P.  A.  Stohlmann.  Edward  Pfarre. 


13^ 


IPart  1. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


ASPIEATOES. 

A  descriptive  pamphlet  on  Aspirators  may  be  had  on  application. 
Fig.  426.    Steurer's  Aspirator. 


Fig.  427.    Emmett's  Aspirator. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Part  I. 
67  CriATHAM  STREET,  NEW  YORK. 


133 


ASPIEATOES. 

A  descriptive  pamphlet  on  Aspirators  may  l)e  luul  on  application. 
Fig,  428.     Tiemann  &  Co.'s  Aspirator.  Fig.  429.     Higgins'  Aspirator  and  Injector. 


Fig.  430.     Codman's  Aspirator  and  Injector. 


P.  A.  Stohlmann. 


Edward  Pfarre. 


134 


Part  I. 
GEO.  TIEMAKK  &  CO.'S  SURGICAL  INSTRUMENTS, 


ASPIEATOES. 


Descriptive  pamphlet  may  be  had  on  application. 
Fig.  431.    Fitch's  Handy  Aspirator. 


THEEMO-OAUTEEY. 


Fig.  432.    Paquelin's  Thermo-Cautery. 


The  apparatus  consists  of  a  hollow  handle,  insulated  with  wood,  to  protect  the  hands  from 
the  heat.  It  is  furnished  with  three  movable  holloAV  platinum  cauteries ;  into  these,  after  thej^ 
have  been  heated  to  blackness  in  a  flame  of  a  spirit  lamp,  a  blast  of  benzine  vapor  is  introduced 
by  means  of  a  Richardson's  spray  bellows,  which  at  once  rises  to  and  maintains  them  at  a  state 
of  vivid  incandescence.  The  heat  thus  produced  can  be  kept  up  for  an  indefinite  time  by 
slightly  compressing  the  bellows  occasionally.  The  apparatus,  in  a  morocco  case,  imported 
directly  from  the  manufacturer  in  Paris $50 .  00 


P.  A.  Stohlmann. 


Edward  Pfarre. 


Part  II. 


Politzer's  Acoumeter. 


Please  do  :h''OT  MUTILATE  this  Book, 

In  ordering,  merely  state  the  Fart  of  the  Armamen- 
tarium, the  JVumher  of  the  Figure,  and  the  JSTame  of  the 
article  desired. 

Instruments  not  mentioned  in  our  Frice  List  will  he 
furnished'  at  the  lowest  market  rates. 

When  GOODS  FOR  REFAIR  are  directed  to  us,  the 
Owner's  Xame  and  Address  should  accoinpany  them. 
This  will  enable  us  to  return  them  to  the  proper  place 
and  person. 

Parties  finding  it  convenient  to  order  through  dealers 
are  requested  to  insist  upon  receiving  our  manufacture, 
as  otherwise  inferior  goods  are  frequently  substituted. 

All  instruDxents  of  our  make  have  our  name  stamped 


Pakt  II. 


GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

No.  (i7   Chatham  Street; 
IBrancli    ©tore,    TVo.    lOT'    East    T>v-en.ty-elg:lxtli.    Htreet, 

NEW-YORK. 


W%  IMiTEUMllfT! 


INSTRUiVIENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 


Fig.  1 


Fig.  2. 


Fig.  3. 


Fig.  4. 


Fig.  6. 


Jaeger's  Plate  Lid-Holder. 


Pakt  II. 

GEO.  TIEMANN  &  CO.'S   SURGICAL  INSTRUMENTS, 
F.  A.   Stohlmann. 


Edward  Pparke. 


I¥l  IW iTEUMlHTS, 


INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 


Fig.  7.     Henry's  Depilating  Forceps. 


e.TIEMANU  =  CO.HY. 


Fig.  8. 


Fig.  9.     Cilia  Forceps. 


Fig    11.     Prout's  Entropium  Forceps 


Fig.   12. 


Fig.  13.     Knapp's  Entropium  Forceps. 


Pakt  II. 
67  CHATHAM   STREET,  NEW-YORK.  3 

Branch  Store,  _  107  East  28th   St.,  N.  Y. 

SETS   OF   EYE   INSTRUMENTS   IN   CASES. 


SET    OF    EYE    INSTRUMENTS    No.    1. 

1  Beer's  Knife, $1  50 

1  Curved  Needle, 1  25 

1  Iris  Needle,     .         .         .         .         .         .  ^ 1  25 

1  Pair  of  Forceps, 1  50 

1  Pair  of  Scissors,  curved  on  the  flat,  fine  points,         ...  1  50 

1  Plain  Wire  Speculum, 1  00 

1  Strabismus  Hook, 1  25 

1  Dix's  Spud  for  removing  foreign  bodies,          ....  1  25 

1  Silver  Probe, 38 

3  Suture  Needles,  fine  silk, 75 

1  Tyrrell's  Sharp  Iris  Hook, 1  25 

1  Daviel's  Curette, .         .         .  1  50 

1  Morocco  Case,  lined  with  silk  velvet,           .         .         .         .         .  2  75 

Amount,     .         .      $17  13 
Set  No.  1  in  a  Rosewood  Case,  $19. 


SET    OF    EYE    INSTRUMENTS    No.    2. 

1  Beer's  Knife, .         ...         .         .  $1  50 

1  Keratome,  or  Artificial  PupU  Knife, 1  50 

1  Dix's  Spud  for  removing  foreign  bodies, 1  26 

1  Curved  Needle, 1  25 

1  Straight  Needle,      . 1  25 

1  Pair  of  Straight  Iris  Scissors, 1  50 

1  Pair  of  Strabismus  Scissors,          .         .         .        ^         .         .         .  1  50 

1  Strabismus  Hook, .  1  25 

1  Parker's  Fistula  Lachrymalis  Knife, 1  75 

1  Plain  Wire  Speculum, 1  00 

1  Tyrrell's  Blunt  Hook, 1  25 

1  Silver  Probe, 38 

1  Critchet's  Lens  Scoop,   .         .         .         .         .         .         .         .         .  1  75 

1  Pair  of  Forceps,          .         . 1  25 

6  Suture  Needles,  fine  silk, 1  25 

1  Rosewood  Case,  lined  with  silk  velvet, 4  50 

Amount,     .         .     $24  13 


Part  II. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  mSTRUMENTS, 

F.  A.  Stohlmanx.  Edwakd  Ppakre. 


i^iMLmi 


liO 


INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 

Fig.  14.     Galante's  Eye  Speculum.  Fig.  145.     Liebreicli's  Eye  Speculum. 


Figs.  21,  23.     Desmarre's  Eye-lid  Retractors. 


Paet  n. 

67   CHATHAM   STREET,  NEWYOllK, 
Branch  Store,  •    107  East  2«tii  St.,  N.  Y. 

SETS  OF  EYE  INSTRUMENTS  IN  CASES. 


SET    OF    EYE    INSTRUMENTS    No.    3. 


1  Graefe'  s  Linear  Knife, $1  .50 

1  Parker's  Fistula  Lachrymalis  Knife,  .... 

1  Beer' s  Cataract  Knife, 

1  Desmarre's  Scarificator, 

1  Straight  Keratome,  for  artificial  pupil,  .... 

1  Angular  Keratome,  for  artificial  pupil,       . 

1  Strabismus  Hook, 

1  Small  Scalpel,  for  operating  upon  the  lids, 
1  Large  Curved  Needle,  Couching,    .         .         . 

1  Small  Curved  Needle, 

1  Straight  Iris  Needle, 

1  Cystotome,  for  lacerating  the  capsule,         .... 
1  Tyrrell's  Blunt  Hook,     .         .         .         .         .         .         .         . 

1  Tyrrell's  Scoop, 

1  Plain  Wire  Speculum, ,         . 

1  Pair  of  Cilia  (or  Eye-lash)  Forceps,  .... 

1  Pair  of  Strabismus  Forceps, 

1  Pair  of  Iridectomy  Forceps, 

1  Pair  of  Straight  Iris  Scissors,         ...... 

1  Pair  of  Iris  Scissors,  curved  on  the  flat,     .         .         . 

1  Anel'  s  Silver  Probe,         .         .         .       - 

6  Suture  Needles  and  Fine  Silk, 

1  Rosewood  Case,  lined  with  silk  velvet,  .... 

Amount,      .         .     $34  63 


1 

75 

1 

50 

1 

50 

1 

50 

1 

75 

1 

25 

1 

50 

1 

25 

1 

25 

1 

25 

1 

50 

1 

25 

1 

75 

1 

00 

1 

00 

1 

25 

1 

50 

1 

50 

1 

50 

88 

1 

25 

4  75 

SET    OF   STRABISMUS   INSTRUMENTS  No.   4. 


1  Pair  of  Strabismus  Scissors, $1  60 

1  Pair  of  Strabismus  Forceps, 1  25 

1  Double  Hook,  for  fixing  the  eye, 1  50 

1  Strabismus  Hook,         .         .         . 1  25 

1  Plain  Wire  Speculum,     . 1  00 

1  Morocco  Case, 1  75 

Amount,     .        .  $8  25 


Part  II. 
GEO.  TIEMANN  &  CO.'S  SUBGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pparre. 

INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 


Fig.  29.     Agnew's  Lachrymal  Syringe 


e,  TIF  MANN  8^  CO 
Fig.  30.    Galezowsky'a  Canalicula  Dilator 


Fig.  305.    Anel's  Probe. 


Fig.  31.    Bowman's  Director;  and  Nos.  1,  2,  3,  4,  5,  6,  7,  8,  Probes. 


6.  TIEMANN  St,  CO. 


Part  II. 

67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 

1¥1   INBTEUMlN'l'S, 


INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 


Fig.  32.     William's  Set  of  Lachrymal  Probes. 
a,  h.    Probes.  c.  Dilator.  d,  e.    Styles. 


Fig.  34.     Liebreicli's  Probe  and  Fistula  Knife. 


nEMONN  S,  CO 


Fig.  35.    Manfredi's  Speculum. 


Fig.  35/;.     Test  Drum,  to  try  the  edges  of  Eye  Instruments. 


SMALL   SET   OF  EYE  INSTRUMENTS.     No.  5. 

1  Curved  Couching  Needle, $1  25 

1  Strabismus  Hook, 1  25 

1  Beer' s  Cataract  Knife,  .         .         .     -   .       - .        .        .        .        .  1  50 

1  Double  Hook,  for  fixing  tlie  eye-ball, 1  60 

1  Pair  of  Plain  Curved  Forceps, 1  25 

1  Pair  of  Strabismus  Scissors,     ^ 1  50 

1  Plain  Wire  Eye  Speculum, 1  00 

1  Morocco  Case,  lined  with  silk  velvet,        .        .        .        .        .  2  50 

Amount,     .        .  $11  75 


Part  II. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
R   A.   Stohlmann.  Edward  Pfakre. 

1¥1  IHSimUMlirTS. 


INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 

Fig.  37.     Bowman's  Canalicula  Knife.    (Director  Fig.  31.) 


Fig.  88.     Geusoul's  Canula  for  Cauterizinsr  the  Nasal  Duct. 


Fig.  47.     Noves'  Plain  Canalicula  Knife. 


Fig. 


Parker's  Fistula  Laclirvmalis  Knife. 


Part  II. 
67   CHATHAM    STREET,   NEW-YORK, 
Branch  Store,  _  107  East  28tji  St.,  N.  Y. 

SETS    OF    EYE    INSTRUMENTS    IN    CASES. 


COMPLETE    SET   OF   EYE    INSTRUMENTS   No.   7. 


2  Graefe's  Linear  Knives,  $1.50, $3  00 

1  Beer's  Cataract  Knife, 1  50 

1  Pair  of  Straight  Iris  Forceps, 1  50 

1  Pair  of  Curved  Iris  Forceps, 1  50 

1  Pair  of  Strabismus  Scissors,            .         .         .         ,         .         .         .  1  50 

1  Cystotome  and  Daviel's  Curette, 2  50 

1  Gouge,  for  removing  foreign  bodies,       .         .         .         .         .         .  1  50 

1  Silver  Lens  Scoop, 2  00 

1  Straight  Keratome,          . 1  50 

2  Angular  Keratomes,  large  and  small,  $1.75,       .         .         .         .  8  50 

1  Pair  Cilia  Forceps, .  1  25 

1  Steel  Blunt  Spatula,   .  '      .         . 1  25 

1  Tyrrell' s  Blunt  Hook,  soft  shank, 1  25 

1  Tyrrell's  Sharp  Iris  Hook,           .         .         .         .         .         .         .  125 

2  Strabismus  Hooks,  $1.25, 2  50 

1  Curved  Needle,  for  removing  foreign  bodies,     .         .         .         .  1  25 

2  Straight  Delicate  Scalpels,  $1.50,   . 3  00 

1  Liebreich's  Best  Ophthalmoscope, 6  50 

2  Desmarre's  Lid  Retractors,  $1.75,  .         .         .         .         .         .3  50 

2  Desmarre's  Eye  Specula,  right  and  left,  with  set-screw,  $2.25,  4  50 

1  Weber's  Graduated  Dilator,            . 1  00 

1  Set  of  Bowman' s  Silver  Probes,  Nos.  1  to  8,     .         .         .         .  3  00 

1  Pair  of  Straight,  Spring-catch,  Fixation  Forceps,          .         .         .  2  50 

1  Pair  of  Slide-catch  Fenestrated  Artery  Forceps,        .         .         .  3  00 

1  Pair  of  Desmarre's  Entropium  Forceps,         .   -      .         .         .         .  3  00 

2  Pairs  of  Snellen's  Right  and  Left  Entropium  Forceps,  $3.00,  .  6  00 
1  Anel'  s  Hard-rubber  Syringe,  2  silver  gilt  j)oints,            ...  5  50 

1  Brush  and  Caustic-holder, .  2  50 

1  Jaeger' s  Plate  Lid  Holder, 1  00 

6  Suture  Needles  and  Fine  Silk, 1  25 

1  Hard-rubber  Spatula,  to  apply  ointment,       ....  75 

2  Bowman's  Stop  Needles,  $1.60, 3  00 

1  Paracentesis  Needle, .         ,  1  75 

1  Straight  Broad  Needle, 1  25 

1  Delicate  Shell  Spoon, 1  75 

1  Double  Hard-rubber  Curette, 1  50 

1  Stilling' s  Canalicula  Knife, .  1  50 

1  Graefe's  Tractor, 1  50 

1  Pair  Delicate  Bone-gouging  Forceps, 3  00 

1  Rosewood  Brass-bound  Case,  lined  with  silk  velvet,         .         .  16  00 

Amount,     ,        .    $107  00 


Part  II. 
10  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

r.  A.  Stohlmann.  Edwakd  Pfarre. 


i¥l  IH iTKUMlW Ti. 


INSTRUMENTS  FOR  OPERATING  ON  THE  LIDS  AND  LACHRYMAL  DUCTS. 

Fig.  49.    Jaeger's  Bistoury  Cache  for  the  CanaUcula. 


< £ 


Fig.  50.    Beaumont's  Concealed  Canalicula  Knife. 


Fig.  51.    Asnew's  Canalicula  Knife. 


Fig.  57.     Styles  and  Lach- 
rymal Canula. 


ft 
O 


(In 


cb 


Fine  Suture  Needles,  Suture  Silk  (white  and  black),  fine  Silver  wire.     Page  63,  Part  I. 
Styles  made  of  gold,  silver,  aluminium,  hard  rubber  and  lead,  solid  and  canulated  ;  also  lead 
wire. 


Pakt  II. 

67   CHATHAM   STREET,  NEW-YORK,  U 

Branch  Store,  107  East  28tii  St.,  N.  Y. 

^^ , 

Fig.  58.     Girard  Teulon's  Canalicula  Instrument. 


NOYES'    SET   OF   EYE   INSTRUMENTS   No.   8. 


2  Desmarre's  Eye-lid  Retractors,  large  and  small,  $1.75,          .        .  $3  50 

1  Plain  Wire  Speculum, 1  00 

1  Noyes'  Plain  Canalicula  Knife, 1  75 

1  Set  of  Bowman's  Probes,  Nos.  1  to  8, 3  00 

Some  Lead  Wire,  Nos.  4  to  8,            60 

1  Small  Scalpel, 1  50 

1  Hard-rubber  Dental  Syringe,           .         .         .         .         .         .         .  1  00 

2  Strabismus  Hooks,  large  and  small,  $1.25,         .         .         .         .  2  50 

1  Pair  of  Straight  Iris  Scissors, 1  50 

1  Pair  of  Curved  Iris  Scissors,       .        .        .        .        .        .        .  1  50 

1  Pair  of  Fixation  Forceps,       .        .        ...        .        .        .  2  00 

1  Pair  of  Plain  Dissecting  Forceps,       ......  75 

1  Dix'  s  Spud,  for  removing  foreign  bodies,       .         .         .         .         .  1  25 

1  Spatula, 1  25 

1  Straight  Iridectomy  Knife  ( Keratome),          ...       .        .        .  1  50 

1  Angular  Iridectomy  Knife,          . 1  75 

1  Short  Iris  Forceps,          .         .        .        .        ...        .        .        .  1  50 

1  Large  Curved  Iris  Forceps, 1  50 

1  Tyrrell's  Blunt  Hook,     .         .         .         .         .         .         .         .         .  1  25 

2  Straight  Discission  Needles,  $1.25,     .        .        .        .        .        .  2  50 

1  Graefe's  Linear  Knife,  wide  pattern,      ...         .         .         .  1  50 

1  Small  Sharp  Iris  Hook, 1  25 

1  Pan-  of  Front's  Entropium  Forceps, 4  00 

1  Cystotome  and  Curette,      .         . 2  50 

1  Sand' s  Needle  Forceps, 4  50 

6  Small  Curved  and  3  Straight  Suture  Needles,  and  fine  Silk,     .  2  00 

2  Graefe' s  Linear  Knives,  narrow  pattern,  $1.50,      .         .         .         .  3  00 
1  Hard-rubber  Spoon,     .         .         ...         .         .         .         .  75 

1  Critchett's  Lens  Scoop, .  1  75 

1  Rosewood  Brass-bound  Case,  lined  with  silk  velvet,         .        .  12  00 

Amount,     .        .  $66  25 


Part  II. 
12  GEO.   TEIMANN  &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


ITl  IF/iTEiriilWT 


'iO 


STRABISMUS    INSTRUMENTS. 


Part  II. 
67  CHATHAM  STREET,  NEW-YORK.  13 

Branch  Stoiie,  107  Eart  28Trr  Street. 

Fig.  70.     Liebreich's  Oplithuinioscope. 


AG-NEW'S  SET  OF  EYE  INSTKUMENTS  No.  9. 


1  Agnew's  Glass  Syringe,  metal  mounted,  with  two  silver  points 

(for  lachrymal  disease), 

1  Set  of  Bowman's  Probes,  N'os.  2  to  8, 

1  Agnew's   Knife,  modified,  longer  than  Weber's,   and  temper 

taken  out  of  a  quarter  of  an  inch  of  the  shank,    . 

2  Strabismus  Hooks,  $1.25, 

1  Pair  of  Strabismus  Forceps, 

1  Pair  of  Straight  Scissors,  small,  rounded  points,     . 

1  Pair  of  Scissors,  curved  on  the  flat,  delicate,       .         .         . 

1  Pair  of  Iris  Forceps,  delicate,  ....... 

1  Graefe's  Linear  Cataract  Knife, 

1  Liebreich's  Linear  Cataract  Knife,  narrow, 

1  Cystotome, 

1  Small  Cataract  Xeedle,      . 

2  Stop  Needles,  $1.50, 

1  Small  Sharp  Hook, .        .        « 

1  Graefe's  Spring  Speculum,    . 

1  Paracentesis  Needle,  Desmarre's,      ...... 

1  Iridectomy  Knife,  angular,    .         .         .         .         . 

1  Pair  of  Fixation  Forceps,  spring-catch,   ..... 

1  Pair  of  Prout'  s  Needle  Forceps,  ....... 

6  Fine,  Curved  Suture  Needles,  and  Fine  Silk, 

1  Double  Lid  Elevator,  with  hinge  so  as  to  shut  up  on  itself, 

1  Beer's  Cataract  Knife,       .         .         .         .         .         .         . 

1  Pair  of  Large  Straight  Scissors, 

1  Pair  of  Large  Scissors,  curved  on  the  flat,  for  enucleation,     . 
1  Rosewood  Case,  lined  with  silk  velvet, 

Amount,     .        .        $57  75 


$5  00 

3  00 

1  75 

2  50 

1  25 

1  50 

1  50 

1  50 

1  50 

1  50 

1  25 

1  25 

3  00 

1  25 

2  50 

1  75 

1  75 

2  50 

3  50 

2  00 

3  00 

1  50 

1  50 

1  50 

8  50 

Paet  II. 
14  GEO.  TIEMAKN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfabre. 


OPHTHALMOSCOPES. 

FiCt.  70A.     Loring's  Student  Ophthalmoscope. 


o  _ 


Part  II. 
67  CHATHAM   STREET,  NEW-YORK.  15 

Branch  Stobe,  107  East  28tii  St.,  N.  Y. 


ON  THE  USE  OF  THE  OPHTHALMOSCOPE. 


BY  JONATHAN    HUTCHINSON,  Esq., 

Surgeon  to  the  London  Hospital. 


Some  of  the  simplest  applications  of  optics  to  the  observation  of  the 
eye,  and  the  detection  of  diseased  conditions,  depend  upon  the  fact  that 
the  transparent  structures  still  reflect  some  light,  and  more  when  diseased 
than  when  healthy.     Thus  : 

Firstly  .  We  examine  the  reflecting  efficiency  of  the  surface  of  the 
cornea,  in  order  to  determine  its  transparency.  In  cases  in  which  there  is 
no  large  opacity,  but  simply  a  case  of  general  steaminess  caused  by  an 
uneven  surface,  it  may  be  difficult  to  detect  it  by  dkect  inspection,  but  if 
we  expose  the  eye  to  the  light,  and  look  at  the  image  of  the  window-frame 
produced,  we  shall  see  directly  that  this  image  is  blurred  and  indistinct, 
like  that  from  a  greasy  mirror. 

Secondly".  We  use  what  is  called  the  catoptric  test  to  determine  the 
presence  or  absence  of  the  lens.  This  depends  upon  the  fact  that  the 
surfaces  of  the  lens  reflect  images.  Dilate  the  pupil  well  with  atropia. 
Hold  a  small  taper  in  front  of  the  pupil  in  a  dark  room.  You  will 
observe,  if  the  lens  be  present,  three  images :  an  anterior  one,  bright, 
distinct  and  erect — ^from  the  front  surface  of  the  cornea ;  a  middle  one, 
inverted,  small,  fairly  distinct — from  the  concave  posterior  surface  of  the 
lens  capsule  ;  a  posterior  one,  erect,  indistinct — from  the  anterior  surface 
of  the  lens  capsule. 

Thirdly.  Again,  the  surfaces  of  the  crystalline  lens  easily  become 
visible,  by  the  light  which  they  reflect,  whenever  we  can  see  them  obliq  ae- 
ly.  When  the  lens  is  in  its  normal  position  it  is  difficult,  unless  by 
oblique  illumination,  to  see  its  surface  ;  but  if  it  is  malplaced,  as  wq 
sometimes  find  it,  by  congenital  imperfection,  or  from  mjuries,  then  its 
surfaces,  being  oblique,  become  easily  visible.  Any  one  not  aware  of 
this  fact  would  at  once  declare  that  the  malplaced  lens  was  also  slighdy 
opaque,  and  erroneous  observations  to  that  effect  are  to  be  found  in  some 
records  of  such  cases. 

In  former  days  the  catoptric  test  used  to  be  much  employed  to  deter- 
mine the  transparency,  or  otherwise,  of  the  crystalline  lens.  !N'ow,  how- 
ever, it  has  been  wholly  superseded  by  another  discovery,  which  in  its 
every-day  usefulness  is  second  only  to  that  of  the  ophthalmoscope  itself. 
I  allude  to  oblique  illumination.  To  accomplish  this  is  the  easiest  matter 
possible,  and  by  its  aid  any  one  of  the  slightest  skill  can,  in  almost  all 
cases,  determine  at  a  glance  the  condition  of  the  patient' s  pupil  and  of 
his  crystalline  lens.  The  smallest  dots  of  pigment  on  the  capsule,  the 
least  possible  streaks  of  an  incipient  cataract,  become  by  its  aid  conspicu- 
ously definite.  We  have  no  longer  any  need  for  the  curious,  but  very 
disappointing,  catoptric  test  (which  fails  us  just  Avhen  most  needed,  /.<?., 
in  slight  cases ;  for  the  discovery  of  cataract,  in  any  stage  whatever,  is 


Part  II. 
16  GEORGE  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

^ 

now  perfectly  easy.  For  oblique  illumination  you  need  only  a  candle  and 
a  convex  lens,  say  a  two-inch.  The  pupil  should  be  dilated  with  atropia, 
and  the  candle  having  been  placed  to  one  side  the  patient' s  head,  the  lens 
is  held  so  as  to  receive  its  light,  and  concentrate  it  to  a  pencil,  which 
is  thrown  upon  the  patient's  eye.  All  the  superhcial  parts,  /.e.,  the 
cornea,  the  iris,  the  pupil,  and  the  lens,  may  thus  be  brilliantly  lighted 
up.  In  addition  to  the  illumination,  we  may  also,  with  another  lens, 
employ  magnifying  power,  and  thus  inspect  the  state  of  things  yet  more 
accurately. 

Oblique  illumination  is  applicable  to  all  morbid  conditions  of  the 
cornea,  iris,  or  lens,  and  to  blood-clots  in  the  anterior  part  of  the  vitreous 
or  new  growths  which  bulge  forwards  into  the  anterior  half  of  the  globe. 
You  cannot,  however,  by  its  aid,  see  the  fundus  of  the  eye.  To  do  this 
we  must  employ  another  instrument.  Here  let  us  ask  the  important  ques- 
tion, Why  is  an  ophthalmoscope  necessary  'i  Why  can  we  not,  by  simply 
looking  into  the  little  round  box,  one  inch  deep,  which  constitutes  an 
eyeball,  see  what  is  at  its  bottom  ?  The  answer  is,  that  the  eyeball  is  not 
simply  a  box,  it  is  an  optical  instrument,  and  it  is  from  its  lens  apparatus 
that  the  difficulty  comes.  The  rays  of  light  received  by  the  eye  are 
brought  to  a  focus  in  the  retina  ;  back  again  from  the  retina  they  are  reflect- 
ed, and  pass  out  of  the  eye,  destined  to  depict  somewhere  an  image  of  the 
retina  itself.  The  lens  apparatus,  however,  not  only  brings  the  rays  passing 
in  to  a  certain  and  definite  focus  on  the  retina,  but  it  acts  on  those  which 

¥ass  back,  and  brings  these  also  to  a  focus  at  a  certain  and  definite  place, 
here  is  no  difficulty  whatever  in  illuminating  the  fundus,  any  light  held 
in  front  of  the  eye  will  do  that,  nor  have  the  structures  of  the  fundus 
any  difficulty  in  reflectiiig  light  by  wdiich  they  themselves  ought  in  turn  to 
become  visible.  The  difficulty  is  in  bringing  the  eye  of  the  observer  into 
the  line  of  the  reflected  rays  ;  this  without  artificial  aid  is  impossible,  and 
hence  the  necessity  for  the  ophthalmoscope. 

I  have  said  that  every  lens  has  a  principal  focus,  or  spot  at  which 
parallel  rays  which  impinge  upon  it  are  made  to  meet  by  the  convergence 
induced.  Now,  suppose  that  from  this  focus  the  rays  are  reflected  back 
again,  they  must  pass  through  the  lens  in  the  reverse  direction,  and  will 
again  become  parallel.  If,  however,  divergent  rays  be  used,  they  will  in 
returning  be  converged  and  made  to  meet  at  another  focus  in  front  of  it. 
Inasmuch  as  the  rays  were  at  first  not  parallel  but  divergent,  the  focus  at 
which,  after  passing  through  the  lens,  they  meet,  will  not  be  at  the  same 
distance  as  that  for  parallel  rays,  but  at  a  greater  one.  The  distance  will 
always  be  in  exact  proportion  to  the  degree  of  divergence,  and  thus  the 
two  foci  will  always  bear  mutual  relations  to  each  other.  If  one  be 
brought  nearer  to  the  lens  the  other  will  be  further  off,  and  vice  versa. 
Let  us  call  them  from  this  fact,  that  they  maintain  mutual  relation,  '^con- 
Jugate  foci.''''  You  may  observe,  if  you  like,  that  although  conjugate, 
they  keep  each  other  at  a  distance.  It  is  absolutely  necessary  that  you 
should  observe  that  all  the  rays  of  light  passing  out  from  the  eye  take  a 
direction  towards  this  conjugate  focus,  and  that  thus  an  observer  who 
would  make  use  of  them  to  see  the  fundus  must  bring  his  eye  into  their 
line.  This  line,  however,  is  the  same  that  the  rays  took  in  passing  into 
the  eye,  and  if  you  try  to  intercept  those  coming  out,  you  will  intercept 
those  going  in  and  cut  off  the  source  of  illumination. 

Thus  if  we  hold  a  candle  two  feet  in  front  of  the  observed  eye,  its  rays, 
divergent,  will  be  refracted  in  entering  the  eye,  and  will  depict  an  image 
on  the  retina — they  will  then  be  reflected  and  again  refracted  in  such  a 


Part  II. 

67  CHATHAM  STREET,  NEW-YORK.  17 

Branch  Stoke,  107  East  28th  St.,  N.  Y. 

^ 

manner  that  an  image  of  the  fundus  will  be  found  at  the  position  of  the 
candle  flame,  that  being  the  position  of  the  conjugate  focus.  If  the 
observer  puts  his  head  in  the  direction  of  these  rays  between  the  candle 
and  the  observed  eye,  of  course  he  stops  the  rays  which  should  have 
entered  from  the  candle,  he  illuminates  only  the  outside  of  his  own  Ix-ad, 
and  tlie  eye  of  his  patient  is  left  in  shadow.  If  he  tries  to  see  by  looking 
from  beyond  the  candle,  then  the  flame  of  the  latter  intercejjts  his  vi(_*w 
and  dazzles  his  eye.  What  is  wanted  is  some  contrivance  to  enable  the 
observer  to  bring  his  head  into  his  own  light.  Now  .the  mirror  of  the 
ophthalmoscope  does  this,  a  reflecting  surface  with  a  small  hole  in  the 
middle,  it  practically  makes  the  observer's  eye  the  source  of  illumination, 
and  brings  it  into  the  direction  which  the  rays  of  light  returning  to  tli(^ir 
conjugate  focus  must  take.  Foreshadowed  by  Gumming,  invented  hy 
Helmholtz,  improved  by  Coccius,  Rente,  Liebreich,  and  many  others,  this 
little  instrument,  which  has  worked  such  a  revolution  in  ophthalmic 
science,  is  thus  simple  in  its  essential  principle. 

The  ophthalmoscope  as  in  daily  use,  consists  of  two  parts,  a  mirror  and 
an  object  lens,  and  to  these  is  often  added  an  eye-piece  as  well.  The  mir- 
ror, however,  is  the  essential,  the  other  parts  are  accessories  intended  for 
different  special  purposes.  Without  troubling  you  with  details  respecting 
the  various  modiflcations  of  the  instrument,  I  will  now  describe  the  use  of 
the  simplest  of  them — a  reflecting  mirror  slightly  concave,  and  with  a 
perforation  in  its  centre. 

Having  placed  the  patient' s  head  in  such  a  manner  that  the  light  (a 
lamp,  candle,  or  gas-light)  is  on  a  level  with  his  temple,  and  slightly 
behind  it,  and  his  face,  as  a  consequence,  in  shadow,  the  observer  sits  in 
front  and  applies  the  ophthalmoscope  mirror  to  his  own  eye.  He  should 
keep  both  eyes  open  that  he  may  see  where  the  light  falls,  and  then  move 
the  mirror  until  the  light  falls  full  on  the  pupil  of  his  patient.  In  a 
moment  he  will  perceive  the  flrst  fact  which  this  instrument  reveals,  that 
the  fundus  is  not  black,  as  it  has  always  appeared  to  be  before,  but  that 
it  is  of  a  brilliant  fire-red.  He  will,  however,  see  nothing  of  the  fundus 
distinctly,  only  a  general  red  reflex.  Now  at  this  point  the  student  must 
stop  awhile  and  use  his  mirror,  to  inspect,  first,  the  transparency  of  the 
cornea,  and  next,  that  of  the  lens  and  vitreous,  and  to  do  this  he  must 
make  the  patient  move  his  eye  in  various  directions.  After  a  little  prac- 
tice he  will  be  able  to  manage  his  light  well,  and  to  throw  it  with  precision 
wherever  he  may  wish,  and  to  keep  it  steadily  on  any  given  part.  At  a 
first  lesson  he  may  even,  with  advantage,  practice  for  awhile  by  illuminat- 
ing the  second  button  of  the  patient' s  waistcoat.  Tact  in  dii-ecting  the 
light  having  been  obtained,  we  may  now  proceed  further.  Instruct  the 
patient  to  look,  not  full  in  your  face,  but  over  one  shoulder ;  if  you  are 
inspecting  his  riglit  eye,  over  your  left  shoulder.  You  will,  when  he  does 
this,  notice  at  once  that  the  tint  of  the  light  reflected  fi'om  his  fundus  is 
changed,  that  it  is  no  longer  flre-red  but  canary-yellow.  The  reason  of 
this  is  that  a  different  part  of  the  fundus  is  exposed  to  view,  that,  namely, 
of  the  optic  disc  itself,  which  is  much  lighter  in  color  than  the  rest.  The 
area  of  yellow  is  very  large — occupies,  indeed,  the  whole  of  the  field,  while 
we  know  that  the  disc  itself  is  very  small.  This  proves  that  the  objects 
thus  indistinctly  seen  are  immensely  magnified.  Magnified  by  what  {  By 
the  patient' s  own  eye,  which,  as  we  have  said,  is  equivalent  to  a  lens  of 
one-inch  focus. 

Hitherto,  we  have  seen  nothing  distinctly,  but  if  the  observer  now 
brings  his  head  very  close  to  his  patient' s  face,  he  will  be  able  with  more 


Part  II. 
18  «E0.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfarre. 

or  less  facility  to  observe  the  details  at  the  bottom  of  the  eye,  the  trunks 
of  vessels  of "^ the  retina,  the  optic  disc,  etc.,  etc.  All  these  will  be  seen 
very  large  indeed,  being  still  magnihed  by  the  patient' s  eye.  What  he 
sees  now  is  equivalent  to  type  looked  at  through  a  one-iiich  lens,  placed 
exactly  one  inch  m  front  of  it. 

[It  is  plain,  then,"  that  we  cannot  see  the  fundus  of  the  eye  without 
optical  aid.  Of  such  aid,  we  have  our  choice  of  the  inverted  and  of  the 
erect.  Both  are  seen  much  magnihed,  the  latter  much  more  so  than  the 
former.  For  ordmary  purposes  the  inverted  image  is  used.  It  is  seen 
very  easily,  and  it  brings  a  large  tield  mto  view  at  once,  so  rendering  the 
observer  much  less  liable  to  inconvenience  from  slight  motions  of  the 
patient' s  head.  The  examination  of  the  erect  image  is  chiefly  useful  for 
the  inspection  of  detail,  and  even  for  these  it  requires  great  practice.] 

Next  I  will  attempt  a  few  suggestions  by  which  beginners,  and  those 
who  use  the  instrument  but  seldom,  may  best  hope  to  avoid  mistakes. 

1.  Always  indulge  yourself  in  the  use  of  atropine,  and  by  its  aid  both 
enlarge  the  patient' s  pupil  and  paralyze  his  accommodation.  Experts  can 
manage  without,  and  may  sometimes  smile  at  those  who  are  obliged  to 
use  it,  but  the  increased  facility  which  it  gives  is  such  that  no  beginner 
should  neglect  it.  The  objection  that  it  causes  the  patient  inconvenience 
is  a  very  trivial  one.  What  the  patient  wants  before  all  things  is,  that  a 
correct  opinion  should  be  formed,  and  to  this  end  he  is  quite  prepared  to 
make  a  little  sacrifice  of  convenience.  For  want  of  the  use  of  atropine 
I  think  I  have  known  even  experts  overlook  things  which  would  have 
been  apparent  at  a  glance  had  it  been  used. 

2.  Always  proceed  on  system.  Examine  the  eye  first  without  the 
object-lens,  and  ascertain  the  state  of  the  cornea,  lens,  and  vitreous.  No 
mistake  is  easier  to  make,  or  more  frequently  made,  than  by  the  immedi- 
ate employment  of  the  inverted  image  to  overlook  the  fact  that  the  media 
are  not  perfectly  transparent.  With  strong  illumination  you  can  look 
right  through  a  slight  opacity  in  the  cornea,  lens,  or  vitreous,  and  observe 
only  that  the  retina  and  choroid  are  seen  indistinctly.  Many  a  diagnosis 
of  "hazy  retina"  ought  to  have  been  "opaque  vitreous."  It  is  like  criti- 
cismg  the  beauty  of  a  prospect,  and  declaring  that  it  looks  dull,  when  you 
have  forgotten  to  observe  that  the  window  wanted  cleaning.  If  you  have 
any  doubt  as  to  the  state  of  the  cornea  or  lens,  examine  them  by  oblique 
illumination  before  going  further.  Many  opacities  in  the  cornea  are  so 
slight  that  you  overlook  them  on  naked-eye  inspection,  and  also  with  the 
ophthalmoscope  mirror,  but  find  them  directly  by  oblique  illumination. 
Need  I  add  that  you  must  be  very  particular  that  your  object-lens,  when 
you  use  it,  is  quite  clean.  Any  stains  on  it  will  be  seen  as  if  on  the 
patient's  retina. 

3.  Having  completed  your  examination  of  the  media,  stUl  proceed  on 
system.  The  next  duty  is  to  estimate  the  length  of  the  eyeball.  A 
patient  may  come  complaiidng  that  he  is  rapidly  losing  his  sight,  and  you 
may  find  that  it  really  has  become  so  defective  that  he  cannot  read 
the  largest  ordinary  print.  You  hastily  assume  that  he  must  have  some 
disease  of  the  deep  parts,  some  form  of  amaurosis.  You  proceed  to 
ophthalmoscopic  examination,  and  again  hastily  employ  both  muTor  and 
object-lens,  and  it  is  quite  possible  that  you  may  overlook  altogether  the 
fact  that  the  eyeball  is  much  too  short  and  the  patient  hypermetropic. 
In  high  degrees  of  hypermetropia,  if  sudden  failure  of  accommodation 
happen  to  occur,  the  defect  in  sight  may  often  be  so  great  as  to  draw  the 
attention  quite  away  from  the  right  scent.     I  have  already  described  the 


Part  II. 
67  CHATHAM  STREET,  NEW-YORK.  19 

Branch  Stohe,  _  107  East  38th  St.,  N.  Y. 

method  by  which  we  ascertain  whether  an  eye  is  abnoraial  as  to  length. 
For  the  benefit  of  the  mere  novice,  I  may,  however,  here  add,  that  when- 
ever, witliont  the  object-lens,  any  of  the  details  of  the  fundus — vessels, 
disc,  patches,  etc. — are  easily  seen,  he  may  be  quite  sure  that  tlni  globe  is 
either  too  long  or  too  short,  or  that  the  lens  is  wanting.  If  tlnr^se  objects 
are  seen  very  easily,  and  the  image  very  bright  and  beautiful,  then,  in  all 
probability,  it  is  an  inverted  image,  and  the  eye  is  myopic.  If  only  large 
trunks  of  vessels  have  been  seen,  and  these  not  easily  Kept  in  view,  then 
probably  it  is  the  erect  image,  and  the  eye  hypermetropic. 

4.  Still  proceed  on  system.  Having  ascertained  that  the  media  are 
clear,  and  that  the  eyeball  does  not  materially  deviate  from  its  noraial 
length  in  either  direction,  you  may  now  examine  in  succession  the  optic 
disc  and  its  vessels,  the  retina,  and  choroid  near  to  it,  the  yellow  spot,  and 
lastly,  the  outlying  districts.     I  must  mention  each  of  these  separately. 

5.  The  Optic  Disc.  Note  its  shape,  its  margins,  whether  definite  or 
otherwise,  its  color,  and  its  level.  Observe  whether  the  vessels  upon  it 
are  seen  sharply  or  not,  and  look  particularly  as  to  how  they  conduct 
themselves  at  its  margin.  Distinguish  between  artery  and  vein,  and  note 
the  size  of  each.  It  is  a  common  mistake  with  young  observers  to  pay 
attention  to  the  vein  only.  In  the  healthy  state  the  disc  should  be  round, 
and  its  choroidal  rim  distinct  and  sharp  ;  the  vessels  on  its  surface  should 
be  seen  with  beautiful  clearness,  and  the  difference  between  vein  and 
artery,  as  to  size  and  color,  should  be  readily  distinguished.  In  the 
centre,  or  near  it,  and  close  to  where  the  trunks  of  the  vessels  dip  back, 
there  will  be  seen  a  bright  white  patch.  This  white  patch  may  be  large 
and  very  conspicuous  in  some  eyes,  and  small  in  others,  whilst  still  the 
eye  is  not  in  the  least  diseased.  As  regards  the  vessels,  you  must  distin- 
guish between  the  large  branches  of  those  destined  to  supply  the  retina, 
and  the  minute  ones  which  give  a  general  pink  tint  to  the  nerve  itself. 
The  latter  may  be  much  diminished,  whilst  the  former  retain  their  size. 

Amongst  the  more  common  peculiarities  displayed  by  the  disc  in  a 
state  of  disease,  we  have — ■ 

1st.  The  formation  of  crescents  by  its  side,  or  of  irregular  circles 
around  it  in  myopia. 

2d.  A  jagged  condition  of  the  choroidal  rim,  indicating  either  the 
commencement  of  crescents,  or  the  previous  occurrence  of  inflammation 
(neuritis). 

3d.  A  hazy  semi- opaque  appearance  of  the  structures  in  which  the 
retinal  vessels  run,  by  which  the  latter  are  in  part  concealed  and  rendered 
indistinct.  In  this  state  the  margins  of  the  choroidal  rim  are  concealed, 
and  the  disc  appears  to  be  much  increased  in  size,  and  to  be  limited  by  a 
shaded,  indistinct  edge.     This  "woolly"  condition  implies  neuritis. 

4th.  The  disc  may  be  too  red  or  too  pale.  The  pallor  sometimes 
amounts  to  absolute  whiteness,  sometimes  it  is  blue-white,  and  sometimes 
it  is  a  dirty  gray  tint.  Sometimes  the  pallor  affects  the  whole  disc  surface, 
and  at  others  only  a  part.  If  only  a  part,  the  third  next  to  the  yellow 
spot  is  that  usually  affected,  and  in  commencing  cases  this  is  always  the 
first  to  suffer.  The  pallor  may  indicate  mere  anaemia,  with,  perhaps, 
primary  atrophy,  or  it  may  indicate  an  anaemia  and  atrophy  which  are 
secondary  to  inflammation.  It  requires  much  experience  to  decide  this 
point. 

5th.  The  disc,  instead  of  being  on  the  same  level  as  the  rest  of  the 
retina,  may  be  pushed  backwards,  or  cupped  as  it  is  called.  This  cupping 
will  be  recognized  by  carefully  tracing  the  main  trunks  of  vessels  and 


Part  II. 
20  GEO.  TIEMANN  &  CO.S   SUKGICAL  INSTEUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarrb. 

observing  whether  they  curve  on  passing  over  the  choroidal  margin.  If 
the  cup  is  well  marked,  the  vessels  will  bend  so  much  that  they  are  lost 
sight  of  at  the  edge  of  the  disc,  to  be  found  again  on  its  surface,  looking 
much  smaller  and  paler  than  those  in  the  retina,  and  requiring  a  little 
movement  of  the  object-lens  to  bring  them  well  out.  Cups  of  this  kind 
imply  intra-ocular  pressure,  the  characteristic  of  the  disease  known  as 
glaucoma.     With  them  pulsation  of  the  vessels  may  often  be  observed. 

Having  carefully  studied  the  disc,  your  attention  will  next  be  directed 
to  the  retina  and  its  vessels.  The  retina  ought  to  be  almost  perfectly 
transparent,  but  in  dark  eyes — and  particulaiiy  in  members  of  the  dark 
races — a  delicate  haze,  or  bloom-of-plum  appearance,  may  be  observed  in 
it,  especially  near  to  the  yellow  spot.  You  ought  to  be  able  to  trace  the 
retinal  vessels  with  the  greatest  ease.  If  this  cannot  be  done,  then  inflam- 
mation of  some  kind  or  degree  is  present.  The  grand  characteristic  of  in- 
flammation, as  far  as  the  retina  is  concerned,  is  opacity.  This  opacity  may 
vary  from  the  merest  haze  to  that  of  the  dense  white  or  gray  pellicle.  By 
this  haze  the  trunks  of  the  vessels  will  probably  be  more  or  less  concealed, 
but  if  the  deeper  layers  of  the  retina  are  affected,  their  concealment  may 
not  be  much.  You  will  remember  that  the  retina  consists  of  three  princi- 
pal layers — that  of  rods  and  bulbs,  which  is  close  to  the  choroid,  and 
probably  fed  by  it,  that  of  nerve  cells,  granular  matter,  etc.,  in  the 
middle,  and  that  of  nerve-tubes  (derived  from  the  optic),  etc.,  which  is 
innermost.  It  is  in  the  latter  layer  only  that  the  arteria  and  vena  cen- 
tralis run  :  these  vessels  have  nothing  to  do  with  the  deeper  or  outer  layers. 
The  inflammation  may  affect  chiefly  either  the  inner  or  outer  layer,  being 
in  the  one  case  a  neuro-retinitis,  in  the  other  a  choroido -retinitis. 

In  some  cases  of  retinitis,  as  in  that  which  attends  Bright' s  disease, 
hemorrhages  are  very  common. 

The  yellow  spot  is  recognized  almost  as  much  by  its  negative  features 
as  by  any  distinctive  peculiarities.  It  is  situate  a  little  to  apparent  nasal 
side  (inverted  image)  of  the  optic  disc,  and  is  exactly  opposite  the 
observer  when  the  patient  looks  at  the  ophthalmoscope  mirror.  No  large 
vessels  cross  it.  It  is  more  highly  pigmented  than  the  neighboring  parts, 
and  also  often  looks  rather  hazy  and  indistinct.  It  is  here  that  the 
deposits  characteristic  of  Bright' s  disease  are  earliest  seen. 

The  choroid  is  the  tissue  which  gives  color  and  glow  to  the  fundus.  It 
may  vary  exceedingly  within  the  limits  of  health,  and  its  variations  will 
cause  apparent  haze,  or  otherwise,  in  the  retina.  Before  trusting  yourself 
to  any  ophthalmoscopic  descriptions  whatever,  examine  carefully  the 
differences  in  the  eyes  of  fair  and  of  dark  persons.  In  the  latter  you  will 
find  the  choroidal  epithelium  full  of  pigment,  and  showing  dark  mapped- 
out  areas,  which  might  easily  be  supposed  to  be  morbid,  whilst  the  vessels 
of  the  choroid  are  concealed.  In  the  fair-complexioned  eye  the  leashes  of 
vessels  will  be  seen  with  marvelous  brilliancy  and  beauty,  and  the  sus- 
picion of  atrophy  will  be  suggested. 

It  is  much  more  common  to  see  the  results  of  inflammation  in  the 
choroid  than  to  trace  the  early  stages  of  such.  The  results  are  perma- 
nent, and  very  conspicuous.  The  epithelium  may  be  absorbed  in  large 
patches,  usually  with  masses  of  black  pigment  remaining.  The  absorp- 
tion may  implicate  deeper  layers,  and  be  attended  by  atrophy  of  the 
vascular  rete  and  exposure  of  the  sclerotic.  The  patchy  condition  in  a 
case  of  choroiditis  disseminata  may  be  compared  to  that  of  a  piece  of 
well-marked  tortoise-shell. 

Inflammation  of  the  choroid  in  patches  is  usually  of  syphilitic  origin. 


Part  II. 
67   CHATHAM   STREET,   NEW-YORK.  2l 

Brajtcii  Store,  ^  107  East  28txi  St.,  N.  Y. 

Atrophy  of  the  choroid,  independent  of  inflammation,  is  frequent  in 
advanced  states  of  myopia. 

Inspection  of  the  outlying  districts  of  the  fundus  is  easily  done,  by 
making  the  patient  look  upwards,  downwards,  etc.,  strongly.  It  should 
never  be  omitted  ;  for  not  unfrequentl}^  changes  may  here  be  discovered 
which  will  be  the  key  to  the  case.  It  is  here  that  the  dots  of  pigment, 
characteristic  of  retinitis  pigmentosa,  will  be  first  found.  Here  also,  in 
syphilitic  inflammation  of  limited  degree,  patches  may  be  sometimes 
found  when  there  are  none  in  the  central  parts  of  the  fundus. 

Having  mentioned  some  of  the  chief  morbid  conditions  to  be  expected, 
I  will  now  specify  some  of  the  errors  into  which  novices  with  the  instru- 
ment are  likely  to  fall.  Like  all  other  instrumental  aids — and  the  stetho- 
scope is  a  prominent  example — the  ophthalmoscope  must  be  expected  to 
lead  to  many  mistakes.  It  is  difficult  to  use,  and  requires  long  experience 
before  the  observer  can  trust  his  own  interpretation  of  what  he  has  seen. 
Want  of  familiarity  with  the  varying  conditions  which  may  be  met  in 
health,  is  a  main  cause  of  error.  Thus  a  well-pigmented  choroid  in  a 
dark  complexioned  person  may  be  easily  misapprehended.  A  very  large 
physiological  cup  maybe  taken  for  "white  atrophy,"  or  for  a  glaucoma 
cup  ;  a  margin  of  black  pigment  at  the  edge  of  the  disc  may  be  attributed 
to  disease ;  and  alterations  in  size  of  vessels,  which  are  peculiar  to  the 
individual,  may  be  su]3posed  to  imply  anaemia  or  congestion.  It  is  pos- 
sible, also,  in  a  highly  pigmented  eye,  to  mistake  the  yellow  spot  itself 
for  the  remains  of  a  blood  clot.  As  to  the  common  error  of  fancying  the 
retina  hazy  when  the  appearances  are  due  to  opacity  in  one  or  other  of 
the  media,  I  have,  I  think,  already  said  enough. 

Degrees  of  vascularity  are  especially  difficult  of  satisfactory  compari- 
son. You  will  hear  one  authority  assert  that  the  disc  or  retina  is  con- 
gested, when  another  will  declare  that  they  are  quite  normal.  Let  me 
warn  you  against  the  diagnosis  of  "congested  retina."  In  four  out  of 
five  of  the  cases  in  which  the  words  ' '  hypersemic  retina' '  are  used,  they 
are  probably  employed  in  error.  Both  in  the  optic  disc  and  in  the  retina, 
the  size  of  the  vessels  may  differ  widely  and  be  still  within  the  bounds  of 
health.  Just  as  one  person  may  have  a  florid  cheek  and  red  ears,  and 
another  pale  ones,  yet  both  be  in  good  health,  so  may  the  color  of  the 
optic  disc  and  the  size  of  the  retinal  vessels  differ.  The  conditions  of  the 
circulation  in  the  retina  are  such  as  to  make  any  condition  analogous  to 
erythema  of  the  skin  simply  impossible.  If  you  find  the  retina  visibly 
reddened,  be  sure  that  it  'is  not  simply  "congested,"  but  stained  by 
effusion,  in  fact,  inflamed.  The  individual  arteries  are  too  far  apart  to 
give  any  general  red  color  to  the  whole.  The  interpretation  of  congestion 
must  rest  on  the  enlargement  of  their  trunks  only ;  and  this,  which  is  a 
comparative  question,  is  very  difficult  to  estimate.  The  old  notions  as  to 
active  congestions  preceding  inflammation,  must  be  abandoned  for  the 
retina,  as  elsewhere.  We  now  know  that  cell  changes  are  the  essential 
factors  in  inflammation,  and  that  it  is  these  that  indu'ce  vascular  changes. 
I  do  not  by  any  means  deny  that  the  optic  disc  and  retina  may  in  some 
cases  contain  too  much  blood,  and  yet  show  no  trace  of  inflammation ; 
but  I  feel  sure  that  these  conditions  are  far  less  frequent  than  they  are 
thought,  and  I  warn  the  beginner  against  the  fatal  facility  of  explaming 
amblyopia  by  discovering  congestion. — Clinical  Heports  of  London  Hos- 
pital, 1867-8,  p.  182 


Part  11. 

22  G(EO.  TIEMANK    &   CO.'S   SURGICAL   INSTRUMENTS, 

F.   A.   Stohlmann.  Edwahd  PfarrK 


ti^m 


71^^ 


MEMtB, 


KNAPP'S    DOUBLE-DISK    OPHTHALMOSCOPE 


Fig.  7o.    a.  Front  View  (Mirror). 


b,  Lens,  Disks,  and  Cover  (Removed). 

''"   "\    v^iltiiijlili'' 


ii,  I  |.  'I'  I  ''-^iii'i 


I  I "    I ' 
!■ ,  I  ;  I  f 

'JiilM    •rii 

lid   lll'i  I  ihllililh''  '>in'il''|i 


r  i|,,    ,   ii   '  I   I    I  ii 
I'  „!'■  ,11''  1  ■       ■  ■! 


|l,ill{|li:;|ji||jljl|iil,1,i|li!iii|jji,i,|l/,,li^^^ 


ii;pi>  I  < 


'  . 


, ■ ii    .  . 

I     .1      'I,     I     I     ,.ll|l'.„''l''    ■     N'i'' 


w'":/  muLii/^ 


/ ,/ 


Fig.  73c.     Knapp's  Metric  System  Opthalmoscope. 


Part  II. 
67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  28Tn  St.,  N.  Y. 


^3 


;¥1   IMBTEUMlNtB. 


Fig.  74.    Knapp's  Single  Disk  Ophthalmoscope. 


Fig.  75.    Pupillometer. 


Part  11. 

24  GEO.  TIEMANN  &  CO.'S   SURGICAL  INSTRUMENTS, 

F.  A.   Stohlmann.  Edward  Pfarre. 


KNAPP'S  SET   OF   EYE   INSTRUMENTS. 


2  Strabismus  Hooks,  . $1  25,        .  $2  50 

1  Beer's  Cataract  Knife, 1  50 

1  Graef e'  s  Knife,  for  Linear  Extraction, 1  50 

1  Small  Scalpel, '.        .  1  50 

1  Knapp's  Foreign-Body  Hook,  silver, 2  00 

1  Discission  Needle,        . 1  25 

1  Foreign-Body  ISTeedle, 1  25 

1  Cystotome  and  Daviel'  s  Spoon, 2  50 

1  Spatula  Hook, .         .         .         .  1  25 

1  Angular  Iridectomy  Knife, *.         .  1  75 

1  Bowman' s  Laclirymal  Knife,  . 1  75 

1  Pair  of  Fixation  Forceps,  spring-catch,     .         .         .         .         .  2  00 

1  Pair  of  Strabismus  Scissors,  curved, 1  50 

2  Desmarre's  Lid-Holders, $1  75,     .  3  50 

1  Porte  Caustic,  liard-rubber  and  silver,   ,         .         .         .         .         .  1  00 

1  Hard-Rubber  Copper-Holder,     .         .         .         .         ,         .         .  1  50 

1  Pair  of  Sand's  Needle  Forceps, 4  50 

1  Pair  of  Lidectomy  Forceps,  plain, 1  50 

1  Pair  of  Iridectomy  Scissors, 1  50 

1  Pair  of  Knapp'  s  Entropium  Forceps,          .         .      '  .        .         .  4  00 

1  Hard-Rubber  Spatula,  broad, 1  00 

1  Pair  of  Cilia  Forceps,           .         .         .         .        .        .        .         .  1  25 

^  Doz.  Suture  Needles  and  Silk, 1  25 

1  Bowman' s  Probe,  Nos.  3  and  4,         ...        .       '.        .  75 

1  Morocco  Case,  pocket  size, 6  00 


Amount,     .         .       $50  00 


Witli  1  Liebreicli'  s  Oplitlialmoscope, $54  00 


1  Knapp' s  Ophthalmoscope  (see  Figs.        73)  instead  of 

Liebreich's, .         .         .       $85  00 


Pat?t  II. 
67  CHATHAM  STREET,  NEW-YORK. 


25 


Branch  Store, 


107  East  28Tir  St.,  N.  Y. 


1¥1  raBiTE,UM;iKTS.. 

FIXATION  INSTRUMENTS,  TO  STEADY  THE  EYEBALL  FOR  AN  OPERATION. 

Fig.  78.     Ball's  Double  Hook,  lor  Extirpation. 


Fig. 


Pamard's  Pique,  for  Fixing  the  Eye. 


^^ 


Fig.  83.    Jaeger's  Ophtlialmostate. 


Fig.  84.    Noyes'  Ophtlialmostate. 


Part  II. 
26  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 


Fig.  855.     Carron  de  Villard's  Lid  Forceps,  Right  and  Left. 


KNAPP'S   COMPLETE  EYE  SET  No.  11. 


2  Knapp's  Eye  Specula,  right  and  left,   . 
2  Desmarre  s  Elevators,        ... 
2  Fixation  Forceps,  .... 

1  Beer's  Cataract  Knife, 
1  Graefe's  Cataract  Knife,  concave, 
1  Liebreich's  Cataract  Knife,  concave, 

1  Cystotome,  with  Daviel's  Curette, 

2  Iris  Forceps,  large  and  small,    . 
1  Iris  Scissors,  curved  on  the  flat,  delicate, 
1  Strabismus  Scissors, 

1  Large  Silver  Scoop,        .... 

2  Angular  Iridectomy  Knives, 
1  Weber's  Canalicula  Knife,    . 
1  Bowman's  Stop  Needle,  straight, 
1  Sickle  Needle  without  Stop, 
1  Foreign  Body  Needle,  curved, 
1  Knapp'  s  Foreign  Body  Hook,  silver,    . 

1  Tyreir  s  Blunt  Hook,  soft  shank, 
4  Bowman's  Probes,  „         ,         ,         . 

2  Strabismus  Hooks,     .         „         .         . 
1  Ferguson's  Needle  and  Artery  Forceps, 

■  2  Knapp' s   Entropium  Forceps,  neutral  right  and  left,  one  for 

operation  on  the  outside,  one  for  inner  side, 
1  Jaeger' s  Lid  Holder,  hard  rubber, 

1  Agnew's  Glass  Syringe, 

2  Bistouries, 

1  Cilia  Forceps, 

6  Suture  Needles  and  China  bead  Silk, 

1  Test  Drum, 

1  Knapp's  Caustic  Holder,       .... 

1  Camels-hair  Brush,  mounted  on  one  side  with  a  piece  of  sulphate 

of  copper, 

1  Baader's  Tattoeing-Needle, 

1  Morocco-covered  Case,  lined  with  silk  velvet. 

Amount,     . 


$5  00 


3  60 

4  00 

1  50 

1  50 

1  50 

2  50 

3  50 

1  50 

1  50 

2  00 

3  50 

1  50 

1  25 

1  25 

1  25 

2  25 

1  25 

3  00 

2  50 

3  00 

8  00 

1  00 

4  50 

3  00 

1  25 

1  00 

50 

1  00 

25 

2  00 

7  00 

$78  25 


Part  II. 

67  CHATHAM  STREET,  NEW-YORK. 

Branch  Store,  107  East  28th  St.,  N.  Y. 


1¥1  niiTEUMlMTB. 

INSTRUMENTS  FOR  REIVIOVING  FOREIGN  BODIES  FROIVl 
THE  EYE-BALL  AND  ORBIT. 


Fig.  86.    Dix's  Spud. 


=-^C 


Fig.  87.     Couchins?  Needle. 


-=c 


Fig.  88.    CarroQ  de  Villard's  Needle. 


Fig.  89.     Anfjulav  Needle. 


Fig.  90.     Gouge. 


Fig.  91.     Spatula. 


Fig.  92.    Daviel's  Curette. 


Fig.  93.    Hard  Rubber  Spoon. 


a. 


O 


27 


Fig.  94.    Knapp's  Foreign  Body  Hook. 


G  .Tl  EM  AN  N-  CM 


Fig.  95.    Agnew's  Eye  Douche.  Fig.  95c.    Eye-Bath  Glass. 

Fig.  95^». 
Stopcock  for  Eye  Douche. 


Part  II. 
28  GEO.  TIEMANN  &  OO.'S  SURGICAL  INSTRUMEKTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


SNELLEN'S   COMPLETE  EYE  SET  No.  12. 


1  Agnew'  s  Canaliciila  Knife, $1  75 

1  Angular  Keratome, 1  75 

1  Straight  Keratome, 1  50 

3  Graef  e'  s  Linear  Knives,     .        . 4  50 

1  Small  Strabismus  Hook, 1  25 

1  Large  Strabismus  Hook,, 1  25 

1  Knapp'  s  Foreign  Body  Hook, -.  2  00 

1  Silver  Lens  Scoop, 1  50 

1  Hard  Rubber  Lens  Scoop, 75 

1  Agnew"  s  Lachrymal  Syringe,  2  points,     .         .         .         .         .  5  00 

1  Test  Drum, .  50 

1  Bowman' s  Grooved  Director, 50 

1  Set  Bowman' s  Probes,  button-pointed,         .        .        .        .        .  3  00 

1  Anel'  s  Probe, .  50 

1  Weber's  Graduated  Probe, 1  00 

1  Hard  Rubber  Probe, 10 

1  Skein  black  Eye  Silk, 15 

1  Dozen  Eye  Needles,           . 1  50 

1  Beer's  Knife, 1  50 

1  Agnew' s  Tattoeing-Needle, 2  00 

1  Curved  Needle, 1  25 

4  Straight  Needles, 5  00 

1  Tyrrell's  Sharp  Hook,   ....         .         .         .         .         .  125 

1  Tyrrell's  Blunt  Hook, .  1  25 

1  Bowman' s  Stop  Needle, 1  25 

1  Spud, 1  25 

1  Daviel's  Curette  and   Cystotome,  flexible  shank  and  angular 

bend,  bayonet, 2  50 

1  Graef e'  s  Angular  Iris  Forceps, 1  75 

1  Wecker's  Iris  Scissors,           .         .         .         .         .         .         .         .  10  00 

1  Cilia  Forceps, 1  25 

1  Graef e'  s  spring-catch  Fixation  Forceps,  ordinary,       .         .         .  2  00 

1  Graef  e'  s  spring-catch  Fixation  Forceps,  very  slender  shank,  .  2  00 

2  Desmarre'  s  German  Silver  Retractors, 3  50 

1  Jaeger's  Hard  Rubber  Lid  Holder, 1  00 

1  Caustic  Holder, 1  00 

2  Knapp' s  Entropium  Forcejjs,    .         .         .         .         ...  8  00 

1  Manoir'  s  Canalicula  Scissors,        . 1  50 

1  Straight  Iris  Scissors, 1  50 

1  Sand' s  Needle  Forceps, 4  50 

1  Enucleation  Scissors,  curved  on  flat,         .....  1  60 


Part  II. 
67  CHATHAM  STREET,  NEW-YORK 
Branch  Store, 


107  Eaht  28tii  Street. 


29 


1  Iris  Forceps,  straight,  very  fine,   .     '    .        .  .        . 

1  Strabismus  Scissors,  straight,  batton-pointed, 

1  Iris  Scissors,  curved  on  flat, 

1  Iris  Forceps,  curved, 

1  ISToyes'  Eye  Speculum,  Fig.  17,  regular  size, 

1  Noyes'  Eye  Speculum,  small  size, 

1  Morocco-covered  Case,  with  tray  in  the  bottom  for  eye  instru 
ments,  and  tray  in  the  top  for  scissors  and  forceps, 

Amount,     . 


.    $1 

50 

1 

50 

1 

50 

1 

50 

4  50 

4 

50 

.      W 

00 

$115  25 


INSTRUMENTS  FOR  OPERATING  ON  THE  CONJUNCTIVA. 

Fig.  96.     Scissors  Curved  on  the  Flat. 


O 
"p. 
c 


Q 


pq 


Q 


[See  also  Double  Hook,  Figs.  78  to  80  ;  Scalpels,  Figs.  54,  55,  56  ;  Forceps,  Figs.  80  to  85  ; 
Rubber  Spatula  for  the  application  of  Ointment ;  Hard  Rubber  and  Silver,  Silver  and  Platina 
Caustic  Cases  ;  Camel's-Hair  Brushes,  for  applying  Caustic  Solutions,  etc.]     ' 


1^ 


INSTRUMENTS  FOR  PARACENTESIS  CORNE/E. 


Fig.  98.     Desmarre's  Paracentesis  Trocar. 


Fig.  99.    Broad  Paracentesis  Needle. 


Fig.  101.     Very  Broad  Paracentesis  Needle. 


30 


Part  II. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfarre. 


i¥l  m iTEUMllfTS^ 


IRIS    INSTRUMENTS. 

FOE  ARTIFICIAL   PUPIL,    IRIDECTOMY,    DISLOCATING   THE    NATURAL    PUPIL, 

AND   INCISION. 

Fig.  102.    Jaeger's  Straight  Keratome. 


Fig.  103.    Jaeger's  Angular  Keratome. 


Fig.  105.    Welker's  Iridectomy  Instrument. 

T  /EMftNI\/-CG, 

Fig.  105&.    De  la  Rosa's  Iris  Needle. 


Many  other  patterns  of  Iris  Hooks  on  hand,  such  as  Weber's  Capsular  Hooks,  single  and  double,  right  and  left  curves 


Part  II. 

67  CHATHAM  STREET,  NEW  YORK. 

Branch  Store,  107  East  28th  Stiikkt,  N.  Y. 


31 


i¥i  nfiTMUMiiiTe 


^« 


INSTRUMENTS  USED  IN  OPERATIONS  FOR  CATARACT. 

Figs.  113,  114,  115.    Beer's  Cataract  Knives,  three  sizes. 

*a!:l!iJ«iii:!llli|llin«ill!llllll"}l"«'|iF 

^-^'■'■'IllV'll! "  Jas 


Fig.  116.     Cystotome,  for  Lacerating  the  Capsule. 


Fig.  117.    Knapp's  Cystotome. 


3  'pb 


Fig.  118.     Graefe's  Linear  Knife. 


Fig.  119.     Graefe's  Tractor. 


Fig.  120.    Graefe's  Lens  Scoop. 


Fig.  121.     Hard-Rubber  or  Shell  Lens  Spoon. 


Fig.  122.     Critchet's  Hooked  Needle. 


^€ 


Fig.  123.    Luzardi's  Hooked  Needle. 


Fig.  124.     Silver  Lens  Scoop  and  Cystotome 


Fig.  125.     Fenestrated  Lens  Scoop. 
Fig.  125b.    Critchet's  Flat  Lens  Scoop. 


Fig.  125c.     Critchet's  Concave  Lens  Scoop. 


Paut  II. 
32  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stoulmanx.  Edward  Pfaurk. 

EYE  raSTRlTMEMTS. 

INSTRUMENTS  USED  IN  OPERATIONS  FOR  CATARACT. 


Fig.  136.    Knife-Needk. 


^= 


Fig.  137.    Noyes'  Iris  Scissors. 


Fig.  138.    Wilde's  Cauulated  Needle. 


M 


P^ 


Fig.  139.     Wilde's  Canulated  Forceps,  Scissors,  and  Forceps-Needle,  in  one  Handle. 


N 


Fig.  140.     Wilde's  Canulated  Forceps  (Lithotriptor-like). 


Part  II. 

67  CHATHAM  STREET,  NEW-YOEK. 

Branch  Stoke,  107  East  38tii  St.,  N.  Y. 


¥1  INSTmTOIlN/T 


HO 


INSTRUMENTS  USED  IN  OPERATIONS  FOR  CATARACT. 


Fig.  148.    Tattoeins:  Needle  (for  the  Coloring  of  White  Spots  in  the  Cornea). 


Ftg.  149. 

Baader's  Tattoeins  Needle. 

^ 

S.  riEMANN  =CC.                                                         1 

Fig.  150. 

Agnew's  Tattoeine  NeedV. 

1 

G.  1  lEIVIB'MN-CO. 

Fig.  151.    Blanehet's  Instrument  for  Exhausting  Soft  Cataract. 


Fig.  153.    Bowman's  Instrument  for  Exhausting  Soft  Cataract. 


34 


Pakt  II. 
GEORGE  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stoulmann.  Edward  Pfarre. 


^A    4\ 


5irr\T 


ffMlNI 


Fig.  153.     Ear  Piercer,  to  Perforate  the  Lobe  for  the  Insertion  of  Ear-rings. 


INSTRUMENTS  FOR  THE  EXAMINATION  OF  THE  EXTERNAL  MEATUS. 


Pakt  it. 
67   (CHATHAM   STRP:ET,   NEW-YORK. 
Branch  Store, 


35 


107  East  28tu  St.,  N.  Y. 


MR  raB^TEUMlHTS. 


INSTRUMENTS  FOR  THE  EXAMINATION  OF  THE  EXTERNAL  MEATUS, 

Fig.  1(30.     Clark's  Otoscope. 


Fig.  162.     Gruber's  Specula  of 
Hard  Rubber. 


Fig.  161.     Knapp's  Ear  Specula. 


o  O   O 


Fig.  163.     Toynbee's  Ear  Specula. 


Fig.  164.     Simrock's  Otoscope,  with  Lens.  Fig.  165.     Speir's  Self-retaining  Ear  Speculum. 


Fig.  1655.     Milikin's  Self-retainino;  Ear  Speculum 


Pakt  II. 
30  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.   Stohlmann.  Edwakd  Pfakre. 


EAE   INSTRUMENTS    IN    CASES. 


POLITZEK'S    COMPLETE    SET    OF    EAR   INSTRU- 
MENTS. 


1  Reflector,  with  handle  and  headband, $6  50 

3  Hard-Rubber  Ear  Specula,          . 1  50 

1  Hard-Rubber  Curette,     .         .         . 1  00 

1  Daviel's  Curette,  German  silver, 1  50 

1  Hook,  for  removing  foreign  bodies, 1  00 

1  Polypus  Knife, 1  25 

1  Tympanum  Perforator,  angular,     .         .         .'        .         .         .         .  1  50 

1  Wilde' s  Angular  Forceps,  spring, 1  50 

1  Pair  of  Polypus  Forceps,        .         .         .         .         .        .         .         .  2  50 

1  Wilde's  Polypus  Snare,      .         .         .         ...         .         .  3  50 

1  Pair  of  Eyelet  Forceps  and  eight  Eyelets  (Politzer'  s),  for  insertion 

into  the  perforated  tympanum, 3  75 

3  Hard-Rubber  Eustachian  Catheters, 3  00 

1  German  Silver  Eustachian  Catheter,           .         .        .        .         .  1  50 

1  Diagnostic  Tube  and  Explorer,       .         .        .        .        .        .        .  2  50 

1  Tuning  Fork, 1  25 

1  Ear  Syringe,  hard  rubber, 1  25 

1  Morocco-covered  case,  lined  with  velvet, 5  00 


Amount,         .        .  $40  00 


Fig.  166.    Hassenstein's  Otoscope. 


Pakt  II. 
67  CHATHAM  STREET,  NEW-YOHK,  37 

Branch  Store,  107  East  38th  St.,  N.  Y. 


IMM  roSTEUMlHTS. 


INSTRUMENTS  FOR  OPERATING  ON  THE  MEMBRANA  TYMPANI,  ETC. 

Fig.  167.     Toynbee's  Artificial  Tympanum. 


Fig.  168.     Gruber's  Sickle-shaped  Polypus  Knife. 


Fig.  169.     Simrock's  Scissors,  for  Operating  on  the  Tympanum  and  Small  Bones  of  the  Ear. 


Pig.  170.     Politzer's  Tympanum  Perforator,  Angular. 


Fig.  171.     Politzer's  Tympanum   Perforator,  Straight. 


Fig.  172.     Politzer's  For- 
ceps, for    Introduc- 
ing    Eyelets     into        c> 
the  Perforated 
Tympanum. 


Fig.  174.     Pomeroy's 
Fig.  173.     Bonafont's  Eustachian  Catheter- 

Eustachian  Catheter-Holder. 


Kramer's 
Holder. 


G.TIEMAhN  =  CO, 


Fig.  174&.    Wire  Nose  Clamps 
for  holding  the  Eustachian  Catheter 


Fig.  175.     Politzer's  Meatus  Knife. 


^ 


-^ 


3.TIEMAI\IN&CQ. 


Fig.  176.     Eustachian  Catheter,  Hard  Rubber  or  Silver. 


88 


Pakt  it. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F,  A.  Stohlmann.  Edward  Pparre. 


EAR   INSTRUMENTS    IN    CASES. 


POLITZER'S  SMALL   SET   OF   EAR   INSTRUMENTS. 


1  Troeltsch'  s  Mirror,  with  handle, $3  50 

3  Hard-Rubber  Ear  Specula, 1  50 

1  Hard-Rubber  Curette,     ....        .        .        .        .        .  1  00 

1  Curette  and  Hook,  steel,     .        . 1  00 

1  Polypus  Knife,  steel, "75 

1  Pair  of  Angular  Forceps, 1  50 

1  Wilde's  Polypus  Snare, 3  50 

2  Hard-Rubber  Eustachian  Catheters, 2  00 

1  Diagnostic  Tube  and  Explorer, 2  50 

1  Hard-Rubber  Syringe, .         .  1  25 

1  Morocco-covered  Case,  lined  with  velvet, 3  50 

Amount,     .        .  $22  00 


Pakt  II. 
CHATHAM   STREET,  NEW-YORK.  39 

Branch  Store,  107  East  28tu  St.,  N.  Y. 


lAE  IFfSTEUMllTT'S, 


NSTRUMENTS    FOR    THE    EUSTACHIAN    CANAL, 


Fig.  179.     Politzer's  Air-Bag,  for  Inflating  the  Eustachian  Canal. 


Fig.  180.     Politzer's  Air-Bag  with  Roosa's  Attachment,  for  Treating  Diseases  of  the 

Middle  Ear. 


Fig.  181.     Buttle's  Inhaler,  and  for  Forcing  Medicated  Vapors 
into  the  Eustachian  Canal. 


Knapp's,  Simrock's,  Allen's,  and  other  Nozzles  for  Politzer's  Air-Bags. 
Kramer' s  Air-Press  to  Order. 


40 


Pa-rt  11- 

GEO.  TIEMANN  &  CO.S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pparke. 


EAR    INSTRUMENTS    IN    CASES. 


TURNBULL'S   SET   OF   EAR   IlSrSTRUMENTS. 


1  Troeltsch'  s  Ear  Mirror,  with  handle  and  headband, 

1  Set  of  (B)  Rhinoscopic  Mirrors,  to  fit  one  handle, 

1  Set  of  (3)  Gruber'  s  Tubular  Specula,  German  Silver,  in  a  case, 

to  be  carried  in  the  vest-pocket,  ..... 

1  Tuning  Fork,  to  test  the  condition  of  the  auditory  nerve,     . 

1  Explorer  and  Diagnostic  Tube,  pair, 

1  Eustachian  Catheter,  hard  rubber,  small  size, 

1  Politzer'  s  Apparatus,  attachable  to, 

1  Capillary  Spray,  for  injecting  the  middle  ear,        ... 

1  Ear  Syrmge,  hard  rubber, 

1  Turnbull's  Curette,  soft  silver, 

1  Turnbuir  s  Angular  Forceps,  for  removing  foreign  bodies, 

1  Turnbuir  s  Sickle-shaped  Knife  and  Curette,  for  opening  furun- 

culous  abscess  in  the  external  meatus, 

1  Ear  Spout, 

1  Clarke' s  Douche,  f or'the  ear  and  eye, 

1  Wilde' s  Polypus  Snare, 

1  Probe.  .         .         .         .         .         .        . 

1  Pair  of  Polypus  Forceps,  Politzer'  s,       .        .         . 

1  Gruber's  Tenotome,  Fig.  177  (3  blades),     . 

1  Politzer' s  Tympanum  Perforator,   .... 

1  Catarrhal  Syringe,  posterior  nares, 

1  Pair  Thudichum's  Nasal  Specula,  r.  and  1.,  . 

1  Rauchfuss'  Powder  Blower,       .... 

1  Drill,  for  perforating  mastoid  cells, 

1  Morocco-covered  case,  lined  with  velvet,    . 

Amount, 


$6  50 

4  50 

3 

50 

1 

25 

2 

50 

1 

00 

2 

00 

3 

00 

1 

25 

1 

75 

1 

75 

2 

50 

1 

50 

2  50 

3 

50 

35 

3 

00 

5 

00 

1 

50 

1 

50 

1 

50 

2 

50 

8 

00 

6 

00 

$68  00 


Part  II. 
67   CHATHAM   STREET,   NEW- YORK. 
Branch  Store,  107  East  28tii   St.,  N.  Y. 


41 


MM  mSTWGMSmTS, 


NSTRUMENTS    FOR    THE    EUSTACHIAN    CANAL. 

Fig.  183,     Fullgraff's  Eustachian  Spray. 


Fig.   184.    Hackley's  Instrument  for  Spraying  the  Eustachian  Canal, 


Part  II. 
42  GEO.  TIEMANN  &  CO.'S  iSURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Ppakee. 


HOOSA'S  SET  OF  EAR  INSTRUMElSTTa 


1  Troeltsch'  s  Ear  Mirror,  with  handle,  and  Roosa'  s  Head-band,     .  $6  50 

1  Set  of  three  Wilde's  Tubular  Specula,  plated,           .         .         .  3  00 

1  Pail'  of  Wilde' s  Angular  Forceps, 1  75 

1  Scalpel  and  Daviel'  s  Curette, ,         ,  2  50 

1  Holcomb's  Cotton  Probe, 60 

1  Eustachian  Catheter,  silver, 1  50 

1  Eustachian  Catheter,  hard  rubber,          .         .         .         .         .         .  1  50 

1  Posterior  IS'ares  Syringe,  hard  rubber, 1  50 

1  Ear  Syringe,  hard  rubber, 1  25 

1  Roosa'  s  Iodine  Apparatus,          .         .         .         .         .         .         .  2  50 

6  Toynbee's  Artificial  Tympanii,  30c., 180 

1  Diagnostic  Tube  and  Explorer, .  2  50 

1  Tuning  Fork  (C), .  1  25 

1  Siegle'  s  Pneumatic  Otoscope, 5  00 

1  Small  Powder-Blower,  hard  rubber, 1  25 

1  Set  of  Blake' s  Ear  Snares  and  Paracentesis  Needle,           .         .  5  50 

1  Morocco-covered  Case,  lined  with  velvet, 3  50 


$43  40 
And  1  Politzer's  Apparatus,  in  a  separate  paper  box,       .         .         $2  00 


Fig.  184!>.    Ely's  Modification  of  Siegle's  Otoscope. 


Pakt  II. 
67  CHATHAM  STREET,  NEW-YORK.  43 

Branch  Store,  107  East  28th  St.,  N.  Y. 


lAE  DfBT'EUMra'TB. 


DIAGNOSTIC    INSTRUMENTS. 


Fig.  185.     Ear  Probe,  Steel,  Angular. 


Fig.  186.      Politzer 
Ear  Manometer 


ipART  II. 

44  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

E.  A.  Stohlmann.  Edward  Pfarbb. 


lAE  Ilf  eTmUMlIf IT'S. 


Fig.  lO".     Blake's  Inner-Ear  Mirror. 


i 


Dr.  Albert  H.  Buck's  Ear  Instruments.    (Fig.  194.) 

/.     Silver  Probe. 

g.    Blunt-pointed  Curved  Bistoury. 
Ti.    Maryngotome. 
i.    Furuncle  Knife. 
k.     Sharp-pointed  Curved  Bistoury. 

For  Buck's  Case  of  Ear  Instniments.    (See  page  46.) 


.     Curette. 
h.    Cotton  Holder, 
c.     Silver  Probe. 

d.    Mastoid  Process  Knife, 
6.    Port-Acid  Glass. 


Part  IT. 

♦  

67  CHATHAM   STREET,    NEW- YORK.  46 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


:^m\ 


>io 


INSTRUMENTS    FOR  REMOVING   FOREIGN   BODIES,  FLAKES  OF  EPIDERMIS, 
WAX,  HAIRS,  POLYPI,  FLUID  SECRETIONS,  ETC. 


Fig.  IMl.    Politzer's  Hard-Rubber  Ear  Spoou. 


UJJEMANtl^Ca. 


Fig.  195.     Allen's  Polypus  Forceps,  and   for 
Removing  Foreign  Bodies. 


Part  II. 
45  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann. 


Edward  Pfabre. 


BUCK'S   SET  OF  EAR  INSTRUMENTS. 


2  Curettes,  75c., 

4  Cotton  Holders,  50c., 

1  Silver  Probe  (c),     .        .         .        .- 

1  Mastoid  Process  Knife, 

1  Port  Acid  Glass, 

1  SHver  Probe  (/), 

1  Blnnt-pointed  Curved  Bistoury, 

2  Maryngotonies,  $1.00,         .         .■ 

1  Furuncle  Knife,     .         .         ' 

1  Sliarp-pointed  Curved  Bistoury, 

2  Drills  for  Mastoid  Process, 

1  Mirror,  2|  inch  diameter,  and  Head-Band,       .... 

1  Wild' s  Ear  Forceps,  very  delicate, 

1  Blake's  Snare,  silver  canula,  only  one  hole  to  receive  No.  37 

wire  doubled, 

1  Set  of  4  Wild's  Ear  Specula,  silver, 

1  Fine  Morocco  Case,  silk  velvet  lining, 

Amount,     . 


$1  50 

2  00 

60 

1  50 

15 

75 

1  50 

2  00 

1  50 

1  50 

3  00 

5  00 

1  50 

3  00 

4  50 

5  00 

$35  00 


INSTRUMENTS  FOR  REMOVING  FOREIGN  BODIES. 


Fig.  203.     Angular  Ear  Hook. 


Fig.  205.     Elsbersi's  Angular  Screw-Hook. 


Ftg.  206.     Gross'  Ear  Spoon  and  Hook. 


S.TIEMP.NN  &CD- 


Part  II. 
67  CHATHAM  STREET,  NEW  YORK. 
Bkanch  Store,  107  East  28th  St.,  N.  Y. 


47 


mm  INBTEUMIHTS. 


Fig.  207b.    Hinton's  Double-jointed  Fig.  207c. 

Fig.  207.    Hinton's  Polypus  Forceps.  Polypus  Forceps.     '        Pomeroy's  Ear  Forceps. 


Fig.  207d.    Tiemann  &  Co.'s  Ear  Forceps  and  Reflector. 


Fig.  207e.    Tiemann  &  Co.'s  Universal  Ear  Forceps.  Fig.  207/.    Avery's  Ear  Forceps. 


Part  II. 
48  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

r.  A.  Stohlmann.  Edward  Pfarre. 


SPEIK'S   SET   OF   EAR  INSTRUMENTS. 


1  Tympanum  Perforator, $1  50 

1  Eustachian  Cauterizer, 1  50 

1  Spec's  Ear  Scoop  (Curette), 1  00 

1  Virgin  Silver  Eustachian  Catheter,    ....                .  2  00 

1  Hook  for  Removing  Foreign  Bodies, 1  50 

1  Speir's  Self -retaining  Ear  Speculum,         .    -     .         .         .         .  4  50 

1  Hard  Rubber  Ear  Syringe, 1  25 

1  Wilde's  Angular  Forceps,        *.  ' 1  75 

1  Wilde's  Ear  Polypus  Snare,          .        .      ^ 3  50 

1  Pair  of  Plain  Slender  Forceps,          .        . '      .        .        .        .  1  00 

1  Lens  and  Frame,  2"  focus, 2  00 

1  Speir'  s  Ear  Cleaner, 75 

1  Pair  of  Small,  Straight  Scissors, 1  50 

1  Tympanum  Manometer, 2  50 

1  Speir's  Aural  Reflector,      ■ 4  50 

1  Ear  Probe, 60 

6  Toynbee's  Artificial  Tympana,  30c., 1  80 

1  Glass  Brush,       . 40 

1  Coil  of  Silver  Wire, 50 

2  Atropine  Glasses,  20c., 40 

1  Morocco  Case,  lined  w^ith  silk  velvet,            .        .         .        .        .  6  00 

Amount,      .         .  $40  45 


TOYNBEE'S   SET   OF   EAR  INSTRUMENTS. 


3  Silver  Ear  Specula  (Toynbee's), $5  50 

1  Pair  of  Rectangular  Forceps,    ....... 

1  Metallic  Syringe  with  two  Rings  (or  hard  rubber), 

1  Ear  SjDout,  .        .        . -       . 

1  Wilde's  Polypus  Snare, 

1  Pair  of  Ring  Polypus  Forceps,         .        .        .  •       . 

4  Artificial  Tympana, 

1  Otoscope  (Diagnostic  Tube)  and  Exx)lorer, 

1  Eustachian  Catheter,  hard  rubber,        .        . 

1  Morocco-covered  Case,  lined  with  velvet,         .... 

Amount,      .         .      $23  20 


1  75 

1  50 

1  50 

3  50 

2  00 

1  20 

2  50 

1  00 

2  75 

Part  II. 
67  CHATHAM  STKEET,  NEW  YORK. 
Bbanch  Store,  107  East  28Tn  St.,  N.  Y. 


49 


lAM  mST-EUMlHTS. 


Fig.  210.    Lucae's 
Eeflux  Ear  Douche 


Fig.  208.    Eiterbecken  (Pus  Basin),  Brass. 


Fig.  209.     Pns  Basin,  Hard  Rubber  or  Tin. 


Fig.  210&.    Bonder's  Ear  Spout.  Fig.  211.    Up  de  Graff's  Ear  Spout. 


50 


Part  II. 
GEO.  TIEMAN?^"  &  CO.'S  SURGICAL  INSTRUMENTS, 


F.  A.  Stohlmann. 


Edwakd  Pparre. 


Fig.  215b. 
Hosiier's  Ear  Spout 


Fig.  215.     Sexton's  Ear-Douche. 


FOR  PERFORATING  THE  MASTOID  PROCESS  AND  FOR  THE  REMOVAL  OF 

NECROSED  BONE. 

Fig.  216.    Drill  with  Guard,  for  Perforating  the  Mastoid  Process. 


O 


Ph 


ffi 


Fig.  2165.     Buck's  Drills. 


Sfc  also  Osteotomy  Instruments,  Part  I. 


Part  II. 
67   CHATHAM   STREET,   NEW- YORK.  51 

Branch   Store,  •  107  East  2Stu   St.,  N.  Y. 

1AM   TEUMPETB, 

A  DESCRIPTION  OF  MECHANICAL  APPLIANCES  FOR  IMPROVING  THE  CON- 
DITION OF  THE  DEAF,  BY  ENABLING  THEM  TO  HEAR  MORE  DISTINCTLY 
THE  HUMAN  VOICE,  MUSIC,  AND  SOUNDS  GENERALLY. 

In  view  of  the  very  limited  remarks  on  Ear  Trumpets,  even  by  the  best 
authors  on  Aural  Surgery^  and  in  answer  to  the  many  inquiries  respect- 
ing tliem,  we  will  attempt  to  describe  in  these  pages  the  most  useful  kinds, 
hoping  thereby  to  meet  the  wishes  of  many  of  our  friends  who  have  ad- 
dressed us  on  that  subject. 

Fig.  319, 


U.riEMANN&CO.N.Y 

The  smallest  auricular  or  Hearing  Instruments  are  Silver  Cornets,  Fig. 
219,  a,  h.  They  will  prove  efficient  in  cases  of  obstruction  of  the  meatus 
auditorius,  by  reason  of  contraction,  or  the  presence  of  polypii.  Keeping 
the  canal  open,  and  admitting  air  to  the  tympanum,  they  will  sometimes 
start  its  dormant  functions.  As  they  come  in  contact  with  inflamed  or 
otherwise  diseased  structures,  they  ought  to  be  made  of  gold  or  silver,  and 
never  of  inferior  metal.     Fig.  219,  c,  represents  an 

ARTIFICIAL    TY'MPANUM. 

In  order  to  diminish  the  evil  results  occurring  from  perforation  of  the 
drum,  it  has  been  recommended  by  Toynbee,  of  London,  to  insert  an  arti- 
ficial one,  and  thus  close  the  opening.  The  instrument  consists  of  a  thin 
plate  of  vulcanized  India-rubber,  about  one  centimeter  in  diameter,  in  the 
centre  of  which  a  line  silver  wire,  about  an  inch  long,  is  fastened.  This 
wire  has  a  ring  on  its  outer  end,  by  which  it  can  be  easily  removed.  This 
artificial  membrane  is  pressed  against  the  remains  of  the  natural  one,  caus- 
ing sometimes  truly  a  magical  effect.  (Yide  Toynbee  on  Diseases  of  the 
Ear,  Philadelpliia  ed.,  page  191  and  others.)  Patients  should  never  apply 
them,  before  they  are  properly  instructed  by  their  physicians. 


Fig.  320 


EAR   TRUMPETS. 


So  called  on  account  of  their  similarity  in  form  to  the  well-known  mu- 
sical instrument,  but,  in  principle,  the  very  reverse  ;  for,  whilst  the  latter 
produces  and  emits  sound  (air  waves),  the  Ear  Trumpet,  on  the  contrary, 
absorbs,  concentrates,  and  conducts  it.  They  are  made  in  various  forms, 
and  may  be  said  to  consist  of  three  parts  : 


52 


Pakt  II. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfakre. 


lAE  TEUMPlT'e, 


Fig.  221. 


The  montli,  the  neck,  and  the  ear  piece.  The  mouth,  or  large  opening, 
is  turned  toward  the  speaker.  The  larger  this  part  of  the  instrument  is, 
the  greater  its  power  will  be.  The  neck,  conical  in  shape,  connects  the 
mouth  to  the  ear-piece. 

Fig.  222. 


e.TIEMAHI\IS.CO.N.Y: 


The  neck  may  be  made  of  various  lengths ;  in  a  straight  line,  also  in 
curves,  or  angles,  without  impairing  the  power  of  the  instrument.  The 
Ear-piece  is  simply  the  small,  well-rounded  open  extremity,  of  proper  size 
to  fit  the  auditory  canal. 

THE    DIPPER    TRUMPET, 

Fig,  225,  is  the  most  powerful  instrument,  best  adapted  to  hear  public  lec- 
tures, or  sermons,  and  will  be  found  efficient  where  the  smaller-sized  trum- 
pets have  failed. 

Fig.  225.  Fig.  226. 


S.  TIEMANN  &  CO.  N.Y. 


G.TIEMANN&CO.Nh; 


They  differ  from  the  ordinary  Trumpet  in  shape  and  construction.  The 
mouth-piece  is  closed  by  a  perforated  metal  plate.  The  neck  is  at  a  right 
angle  to  it  and  reaches  clear  inside,  in  a  curved  line,  nearly  striking  the 
bottom.  Air  waves  passing  through  the  little  apertures  of  the  mouth- 
piece, will  touch  the  bottom,  which,  being  in  form  of  a  parabola,  reflects 
them  toward  a  common  centre.  This  common  centre  is  the  neck  of  the  in- 
strument. All  of  the  waves  being  forced  into  this  channel  and  conducted 
to  the  ear,  will  operate  with  increased  j)Ower.  Like  the  common  Trumpet, 
they  are  made  in  various  forms  to  suit  the  fancy  of  the  patient.  (Figs. 
225,  226,  227.)  The  power  of  the  instrument  is  not  dependent  on  its  form, 
but  bears  minute  relations  to  size,  increasing  or  dinainishing  with  the  other. 


Patit  it. 

67  CHATHAM   STREET,  NEW- YORK.  53 

Branch  Store,  107  East  28Tn  St.,  N.  Y. 


.;AE  TEUMPlTe 


Fig.  227. 


■t^S!asi£l<i4usa«  .,4^...****" 


a.TIEIVlANNX.CO.Ny. 


THE   EAR  OF  DIOJSTISIUS. 

This  instrnment  is  constructed  on  the  Dipper  principle.  The  month- 
piece  is  of  rather  large  proportions,  varying  from  eight  inches  to  one  foot 
in  diameter.  It  rests  on  an  iron  base,  on  a  swivel,  so  that  the  opening  of 
the  mouth  can  be  turned  easily  to  any  direction.  The  neck  is  a  long,  taper- 
ing, elastic  tube,  the  collapsing  of  which  is  prevented  by  a  spiral  wii'e  in- 
side, and  is  overspun  with  silk  or  mohair.  The  ear-piece  is  made  of  horn, 
hard  rubber,  or  ivory.  It  is  intended  for  the  use  of  very  deaf  persons, 
who  wish  to  hear  the  general  conversation  in  their  parlor,  or  who  desire  to 
attend  public  lectures,  church,  or  concerts.  The  instrument  is  placed  on 
the  floor,  near  the  patient's  seat,  and  the  mouth  directed  toward  the 
speaker,  while  the  ear-piece  is  held  in  place  by  the  patient.  The  dipper- 
shaped  instrument  will  reward  the  person  accommodating  himself  to  its 
rather  awkward  form,  as  the  sound  is  conveyed  by  means  of  it  more  dis- 
tinctly than  by  any  other  instrument. 

Fig.  228. 


THE   COlSrVERSATIOlSr   TUBE 

is  of  the  same  general  construction  as  the  trumpet.  Tlie  mouth-piece  is 
small,  about  two  inches  in  diameter.  The  neck,  about  a  yard  or  more  in 
length,  is  made  of  spiral  wire  covered  with  India-rubber,  and  overspun 
with  mohair  or  silk,  being  very  flexible,  and  terminating  again  in  the  ear- 
piece. This  instrument  will  convey  the  merest  whisper,  so_  that  a  third 
person  can  not  hear  the  conversation  carried  on  by  means  of  it.  It  may  be 
worn  suspended  around  the  neck,  or  rolled  up  and  put  into  the  pocket,  but 
it  is  not  so  well  adapted  for  general  use  as  the  Trumpet,  being  more  in- 


54 


Part  II. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.   Stohlmann.  Edward  Pfarre. 


lAE  TEUMPITI 


Fig.  229. 


tended  for  use  among 
friends  and  members  of 
a  family.  The  person 
who  wants  to  convey  liis 
thouglits  to  his  deaf 
friend  speaks  through 
the  bell-shaped  opening 
at  one  end,  whilst  the 
deaf    person  holds   the 


G.TIEMANNE<CO.I\I.Y. 

THE   AURICLES 


other  end  to  his  ear. 
The  tubes  are  sometimes 
made  eight  to  twelve  feet 
long,  so  that  the  month- 
piece  may  be  passed 
around  a  whole  circle  of 
friends,  without  obliging 
any  one  of  them  to  leave 
his  seat. 


consist  of  two  Ramshorn- shaped  trumpets,  connected  by  an  adjustable 
spring,  passing  over  the  crown  of  the  head.  They  are  flattened  on  one  side 
in  order  to  iit  closer.  The  mouth-piece,  being  above  the  ear,  is  pointed 
forward  ;  the  neck  passing  back  and  downward  close  to  the  ear,  tapering 
toward  the  ear-piece,  which  is  made  of  soft  rubber  or  ivory.  Tlie}^  are 
very  easily  concealed,  especially  by  ladies,  who  can  dress  tlieir  hair  over 
them,  and  are  most  desirable  for  such  persons  who  wish  to  hear  and  carry 
on  general  conversation  without  being  necessitated  to  use  the  Ti^nmjpet ; 
for  instance,  Lawyers,  Ministers,  Teachers,  Shop-keepers,  and  others. 

Fig.  230. 


Closed.  Open. 

TELESCOPIC    TRUMPETS, 

very  portable,  and  trumpets  in  the  shape  of 

WALKING    CANES, 
Fig.  231. 


and  numerous  other  forms  of  more  or  less  merit  have  been  made. 

Fig.  232. 


In  the  foregoing,  we  have  described  the  normal  aconstic  instruments  to 
aid  in  hearing.  All  magnify  and  increase  sound,  but  in  the  same  way  as 
a  person  obliged  to  use  spectacles  will  have  to  suit  the  focus  to  his  eye,  so 
a  deaf  person  will  find  one  trumpet  better  suited  to  his  special  case  than 
another. 


Part  IL 

67   CHATHAM   STEEET,   NEW-YORK.  55 

Branch  Store,  107  East  SSth  St.,  N.  Y. 


Fig.  333.     Robert  &  Colliiis'  Nasal  Speculum. 


Fig.  2335.    Goodwjllie'.s  Xasa! 
Speculum. 


Fig.  334.   Bivalve  Nasal  Specu-    Fig.  285.     Elsberg's 
lum.    German  Silver.  Nasal  Speculum. 


Fig.  237.    Frankel's 
Nasal  Speculum. 


Fig.  338.    Folsom's  Nasal 
Speculum. 


G.l\tHKHu%,oo. 


Fig.  836.     Steel  Nasal  Speculum. 


Fig.  339.     Tlmdichum's  Nasal 
Speculum. 


Part  II. 
56  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pparre. 


Fig.  23%.    Rubber  Tampon  for  Epistaxis. 


Fig.  239c.    Caro's  Nasal  Clamps.        ^ 


Fig.  339/    Hard  Rubber  Laryngeal  and  Posterior  Nares  Syringe. 


Fig.  239^.    Bennett's  Posterior  Nares  Sj^ringe. 


See  also— Fij'-s.  358  and  359.    Fullgraf  s  Posterior  Nares  Tubes  and  Douche. 
Fig.  364rf.     Warner's  Catarrhal  Douche. 
"'    364«.     Chapman's  Nasal  Spray. 

"     364/7.     Robinson's  Powder  Blower.  _ 

Figs.  13  and  14,  Supplement.     Bridge's  Nasal  Douche  and  Powder  Blower. 
Fig.  33,  Supplement.     Sexton's  Insufflator. 


Pakt  II. 
67  CHATHAM   STREET,   NEW-YORK. 
Branch  Store,  107  East  28tii  St.,  N.  Y. 


57 


If  AiA.L  IlfBJTEUlillTS 


^9 


Fig.  340.     Thudiclmm's  Nasal  Douche. 


Pig.  240c.     Bonafont's 
Nasal  Speculum. 


Fig.  2405.     Simrock's 
Nasal  Speculum. 


58 


Part  II. 
GEORGE  TIEMANN  &  (JO.'S  SURGICAL  INSTRUMENTS. 
F.  A.  Stohlmanis!.  Edward  Pfarre. 


MASAL  HfSTEUMlHTi. 


Fig.  246.     Belocq's  Canula  for  Epistasis. 


Fig.  247.     Simrock's  Rhinoscope. 


Fig.  249.     Plain  Rliinoscopic  Mirror. 


a.TI£MANN=  CO 


Fig.  250.     Fiillgraffs  Nasal  Douche. 


=^ 


Part  11. 

67  CHATHAM  STREET,  NEW-YORK. 


59 


Bhanch  Stoke. 


107  East  28th  St.,  N.  Y. 


MMtMMP  mwrmimmtu 


Fig.  251.     Buck's  Pin  (Jonductor. 


Fig.  252.     Hutchison's  Harelip  Forcepts 


Silver  Harelip  Pins  witli  Removable  Steel  Points.     Fig.  257c. 
Plastic  Pins  of  all  Sizes. 


Part  II. 
60  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 


Fig.  257c.    Harelip  Pin, 
with  Removable  Point. 


FiG.  258.     Smith's  Harelip  Forceps. 


Fig.  257ff.    Post's  Pin  Conductor. 


Fig.  258i.    Parallel  Harelip  Forceps. 


O-MAL,  LAMTS61AX,  AHB  ffiSOPHA- 


Fig.  2595.     Good- 
willie's  Elastic  Gasj. 


SPECULA   ORIS. 

Fig.  259.    Mussey's  Mouth  Gag. 


Fig.  259c.    Clover's 
Mouth  Gas;. 


lEMANNSCO.W.y. 


Fig.  261.    Whitehead's  Mouth  Gag  {in  situ). 


K 


M 


^ 


Pakt  II. 
07   CHATHAM   STREET,  NEW-YORK.  ej 

Bkanch  Stoke,  107  East  28Tir  St.,  N.  Y. 


OMAL*  LAWIBBMAL,  ABB  CiBOPHA- 


M 


a^m 


SPECULA    ORIS. 

Fig.  261&.  Whitehead's  First  Moath-Gag. 


Fig.   262.     Mott's  Hei  star's  Speculum  Oris. 


Fig.  263.     Westmoreland's  Speculum  Oris, 
for  Reducing  Lockjaw. 


Fig.  264.     Goodwillie's   Speculum 
Oris,  for  Reducing  Lockjaw. 


Fig.  265.    Dobell's  Tongue-holding  Forceps. 


Fig.  265J.     Pocket  Tongue 
Depressor. 


62 


Pakt  II. 

GEO.  TIEiMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


TONGUE    DEPRESSORS. 


Fig.  207.     Elsberg's  Tongue  Depressor. 


Part  II. 

67  CHATHAM  STREET,  NEW-YORK. 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


'/f 


r] 


wMAL  HfiTEUMlF/TS. 


Fig.  272.    Church's  Tongue  Depressor. 


Fig.  2726.     Cusco's 
Tongue-Holding  Forceps. 


TONSIL  AND  UVULA  INSTRUMENTS. 

Fig.  273.     Tenaculum  Forceps,  for  Seizmg.     (Vulsellum.) 


Fig.  274.     Musseux's  Forceps,  for  Seizing.     (Vulsellum.) 


Fig.  275.     Langenbeck's  Seizing  Forceps. 


64 


Pat^t  IL 

GEO.  TIEMANN   &   GO.'S   SUKUICAL   INSTRUMENTS, 

F.   A.   Stohlmann.  Edward   Pfakre. 


OmAL.  LAE¥He«.AX>  AMD  -ffiBOPMA- 


nis^ 


TONSIL    INSTRUMENTS. 


fe 


Pakt  II. 

67  CHATHAM  STREET,  NEW  YORK.  65 

Branch  Store,  ■  107  East  28Tir  St.,  N.  Y. 


TONSIL  INSTRUMENTS. 

Fig.  283^^.    Mackenzie's  Tonsilotome. 


Fig.  284.     Tonsil  Scissors,  Curved  on  tlie  Flat. 
Fig.  285.    Hamilton's  Tonsilotome. 


Pakt  II. 
66  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

E.  A.  Stohlmann.  Edward  Pparre. 


QEALi  WiTEUMlHTI 


^ 


STAPHYLORRHAPHY  AND  URANISCOPLASTIC  INSTRUMENTS. 


Ph 


«^ 


o  S 


p 


Pm 


Fi&.  295.    Whitehead's  Spu-al  Needle,  for  Sutures. 


Fig.  296.    "Whitehead's  Gum  Knife. 


Fig.  298b.     Rio-ht  and  Left  Cheek  Retractors. 


« 


O 


'o 

tn 


t>=e 


PI'S 


ft         [11 

5 

0^          1 

<■ 

o 

Ph 

■ii 

be 

C 

m 

^ 

H              J 

Part  II. 

67  CHATHAM  STREET,  NEW  YORK. 

Bkanch  Store,  107  East  38tii  St.,  N.  Y. 


67 


^  LAE¥lf(ilAlL/  AHB  SSOPl 


[A« 


STAPHYLORRHAPHY  AND  URANISCOPLASTIC  INSTRUMENTS. 

Fig.  298  c  to  I.    Langenbeck's  Knives,  Tenaculum,  Retractor  and  Suture  Holder. 

( 


Pakt  II. 
68  G^EO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pparke. 


OEAL,  IL'AMTireiAL  AMD  ffiSOPHA- 


MAL: 


'IA.M  =lL  ^^i) 


LARYNGOSCOPIC  INSTRUMENTS. 

Fig.  306.    Roe's  Modification  of  Tobold's  Laryngoscope. 


Fig.  307.    Henry's  BuU's-Eye  Illuminator. 


Fig.  308.     Laryngoscopic  Mirrors. 


Part  II. 
67   CHATHAM   STREET,   NEW-YORK.  69 

Branch  Store,        •  107  East  28Tir  St.,  N.  Y. 

Fig.  309.     Tiemann  &  Co.'s  La,ryng()Sco])e,  with  Head-Band. 


Fig.  310.     Application  of  Tiemann  &  Co.'s  Laryngoscope. 


Tlie  Laryngeal  Instniments  represented  on  the  following  pages  are  de- 
signed by  distingnislied  Laryngoscopists  of  Enrope  and  America,  and  re- 
commend themselves,  on  account  of  their  great  simplicity,  for  general  use. 

Before  using  the  Laryngeal  Mirror  (to  prevent  deposits  of  moisture), 
warm  it  over  a  spirit  lamp,  as  the  immersion  in  hot  water,  recommended 
by  some,  favors  the  decomposition  of  the  silver  coating  of  the  glass. 

Sponge-holders  are  preferable  to  Probangs,  because  the  same  piece  of 
sponge  need  not  be  used  twice. 

Solid  Nitrate  of  Silver  is  best  applied  by  means  of  Lente's  or  other 
Probes,  the  extremity  of  which  is  dipped  into  some  Nitrate  of  Silver  fused 
over  a  spirit  lamp,  in  either  a  porcelain  or  platinum  cup.  In  thisway  a 
coating  of  the  nitrate  adheres  firmly  to  the  probe,  and  the  application  is  safe. 

The  pistons  of  all  Syringes  used  for  the  application  of  solutions  should 
be  kept  in  proper  order,  by  frequent  oiling,  and  by  renewing  the  leathei' 
packing  whenever  it  becomes  too  loose. 


Pakt  II. 

70  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 


ON  THE  USE  OF  THE  LARYNGOSCOPE. 


BY  DR.  E.  H.  SIEVEKING, 

Physician  in  Ordinary  to  the  Prince  of  Wales,  and  to  St.  Mai'y^s  Ilosjntal, 


Before  speaking  of  laryngeal  pathology  as  exhibited  by  the  laryngo- 
scope, let  me  say  a  few  words  anent  the  apparatus  to  be  employed,  the 
method  of  using  it,  and  the  points  to  be  observed. 

What  do  you  want  to  do  i  In  plain  English,  you  want  to  look  round 
a  corner  into  a  dark  hole.  This  sounds  paradoxical,  but  the  paradox  is 
solved  by  the  laryngoscope. 

The  light,  either  of  the  sun  or  of  a  lamp,  is  received  on  a  mirror 
attached  to  the  observer's  forehead,  from  which  it  is  reflected  on  to  a 
small  muTor  which  is  introduced  into  the  fauces  of  the  patient,  and  from 
this  mirror  again  the  light  is  thrown  down  upon  and  into  the  larynx.  The 
angle  of  incidence  being  equal  to  the  angle  of  reflection,  you  have  merely 
to  place  your  mirrors  in  such  a  relation  to  one  another,  as  to  secure  the 
proper  du-ection  of  the  rays  of  light,  and  a  perfect  and  distinct  image  of 
the  parts  illuminated  will  be  visible  on  the  small  mirror. 

The  sun  can  not  be  relied  upon  at  any  hour  of  the  day  ;  and  patients 
would  not,  even  if  the  sun  were  always  shining,  present  themselves  when 
his  rays  penetrated  a  given  locality.  We  therefore  And  it  much  more 
convenient  to  trust  to  artificial  light  altogether,  and  accordingly  have 
recourse  to  a  gas  moderator,  or  a  paraffin  oil  lamp,  which  are  not  amen- 
able to  the  caprices  of  the  weather. 

It  is  well  to  darken  the  room  in  which  you  make  your  examination  ; 
but  even  this  is  not  absolutely  necessary  if  the  light  is  protected  by  a 
convex  mirror  on  one  side,  and  concentrated  by  one  or  more  lenses  on  the 
other.  Various  apparatuses  have  been  devised  for  the  purpose  of  inten- 
sifying the  light.  The  lamp  should  be  placed  close  to  the  patient' s  head, 
on  either  side  most  convenient  to  the  observer,  and  so  that  the  lamp  and 
the  patient's  and  observer's  heads  are  in  the  same  horizontal  plane.  The 
patient,  sitting  erect,  should  push  his  head  back  so  as  to  straighten  the 
neck,  and  facilitate  the  introduction  of  the  small  mirror. 

Before  attempting  to  do  this,  the  observer  should  first  ascertain  that 
the  reflector  is  properly  adjusted.  If  he  finds  that  the  mouth  is  fully 
illuminated,  he  may  fairly  conclude  that  he  will  be  able  to  throw  the  light 
upon  the  fauces.  Beginners  generally  find  a  little  difficulty  in  adjusting 
the  reflector,  but  this  is  speedily  surmounted.  Whether  you  place  your 
muTor  on  your  forehead,  or  whether  you  prefer  to  use  it  fixed  to  a  lamp, 
is  a  matter  of  little  moment  Try  both  ways,  and  adopt  the  one  you  like 
best.  The  mirror  I  employ  has  a  central  uncovered  spot.  It  is  an  im- 
provement upon  the  original  mirror  employed  by  the  father  of  laryngo- 
scopy, Professor  Czermak.  I  admit  that  with  Professor  Czermak's  instru- 
ment I  had  a  difficulty  in  seeing  through  the  central  orifice,  but  with 
this  modification  I  find  it  advantageous  first  to  adjust  the  reflector  so  that 


Part  H. 

67  CHATHAM   STREET,  NEW-YOliK,  71 

Branch  Store,  _  107  East  28tii  St.,  N.  Y. 

I  am  enabled  to  see  the  fauces  through,  the  opening,  with  the  eye  covered 
with  the  reflector,  and  then  I  am  certain  to  liav(3  tii(^  proper  axis  for  botli 
eyes.  After  you  have  satished  yourselves  that  tlie  lamp  and  th(^  ]elle(;to]' 
(wliich  is  hxed  on  the  head  by  an  elastic  band  passing  ov(3r  tlie  forelieadj 
are  in  the  right  position,  tell  your  patient  to  open  his  mouth  widely,  to 
protrude  the  tongue,  and  to  breathe  freely.  Some  patients  will  permit 
you  to  see  into  their  larynx  without  in  any  way  fixing  the  tongue,  but 
this  is  the  exception.  As  a  rule,  it  is  necessary  that  the  patient,  or  the 
observer,  should  take  hold  of  the  tip  of  the  tongue  with  a  handkerchief 
or  towel,  or  to  use  a  tongue  depressor,  to  prevent  this  "uniuly  organ" 
from  slipping  back.  Without  this  precaution,  you  very  often  fail  in 
your  endeavors  to  see  below  the  epiglottis.  Your  next  step,  after  having 
got  your  patient  in  the  proper  position,  is  to  warm  the  laryngeal  mirror. 
This  is  necessary,  to  prevent  the  vapor  of  respiration  being  precipitated 
on,  and  dimming  the  mirror ;  but  take  care  not  to  overheat  it.  As  a 
precaution,  it  is  well  to  test  the  temperature,  by  applying  the  back  of  the 
mirror  to  your  own  cheek. 

Take  hold  of  the  stem  of  the  mirror  as  if  you  were  holding  a  pen  ;  in- 
troduce it  into  the  mouth  without  touching  the  tongue,  teeth,  or  lips, 
sinking  the  hand  at  first,  and  then  raising  it  gradually,  so  as  to  allow  the 
mirror  to  form  a  curve  until  it  reaches  the  uvula.  Almost  the  whole 
secret  of  the  manipulation  in  laryngoscopy  consists  in  this.  If  you  touch 
the  lips  or  teeth,  you  tease  the  patient,  but  if  you  touch  the  tongue,  you 
are  certain  to  excite  reflex  action,  and  the  root  of  the  tongue  will  arch  up 
to  impede  your  view.  Audaceinfortuniajimat.  Push  your  muTor,  after 
having  passed  the  janitors,  well  against  the  uvula,  and  you  will  rarely 
meet  with  any  serious  impediment  in  getting  a  proper  view  of  the  larynx. 
An  unsteady  hand  creates  difficulties  which  need  not  exist,  by  bringing 
the  mirror  into  contact  with  other  parts  than  the  uvula  and  soft  palate. 
These  are  not  very  sensitive,  but  if  you  tease  the  root  of  the  tongue,  or 
the  arches  of  the  palate,  you  infallibly  excite  reflex  action,  which  will 
necessitate  the  withdrawal  of  the  instrument.  Having  placed  your  mirror 
at  an  angle  of  about  45°  with  the  horizon,  it  is  well  to  rest  the  little  finger 
of  the  right  hand  against  the  patient' s  cheek,  by  which  means  you  will 
steady  the  instrument.  You  then  secure  a  proper  illumination  of  the 
laryngeal  mirror,  and  by  the  necessary  manipulation,  which  practice  alone 
can  teach,  you  successively  examine  all  the  parts  exposed  to  view. 

In  making  the  examination  and  recording  the  facts  observed,  you  must 
remember  that  you  are  looking  into  a  mirror,  which  represents  the  parts 
in  a  different  relation  from  their  real  position.  The  epiglottis,  which  in 
nature  is  turned  from  the  observer,  is  represented  as  opening  towards 
him ;  the  base  of  the  tongue,  which  is  in  front  of  the  epiglottis,  appears 
in  the  mirror  behind  it ;  and  the  vocal  cords  equally  occupy  in  the 
mirror  a  reversed  position  from  that  which  they  really  possess.  As  laryn- 
goscopic  illustrations  represent  the  appearances  as  seen  in  the  mirror,  it 
is  necessary  to  remember  the  true  relation,  in  order  to  understand  the 
drawing  correctly.  The  lateral  relations  will  cause  less  difficult}"  than  the 
antero-posterior  relations.  What  ordinarily  appears  to  be  the  left  or 
right,  in  the  subject  of  observation  placed  before  us,  still  continues  so. 
We  readily  make  the  necessary  allowances  here  from  the  habit  engendered 
by  custom  ;  but  it  is  different  in  regard  to  objects  placed  in  front  of  each 
other,  and  reflected  in  a  mirror,  because  for  this  our  daily  life  offers  us 
fewer  precedents.  Perhaps  the  easiest  way  to  realize  the  position  of  the 
parts  as  seen   in  the  mirror,   is  to   imagine  yourselves  looking   at  the 


Part  II. 

72  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 

epiglottis  and  vocal  cords,  through  a  hole  in  the  cervical  portion  of  the 
vertebral  cohimn.  To  the  beginner  I  would  say,  make  your  first  experi- 
ment upon  a  case  in  which  you  are  informed  there  is  no  special  difiiculty  ; 
remember  the  rules  laid  down ;  bear  in  mind  the  anatomy  of  the  parts, 
and  the  direction  in  which  you  wish  to  carry  the  light ;  and,  with  a  light 
and  steady  hand,  you  will  scarcely  fail,  after  one  or  two  attempts,  to  see 
that  which  is  ordinarily  visible  by  the  aid  of  this  instrument. 

Now,  what  are  you  to  look  for  '.  The  first  point  that  always  attracts 
the  attention  of  the  observer,  after  having  got  the  light  and  the  mirror 
duly  placed,  is  the  epiglottis.  It  is  the  Cape  of  Good  Hope  of  the 
laryngoscopists,  and  it  is  at  tunes  a  difficult  matter,  a  very  difficult  mat- 
ter, to  round  the  Cape.  You  will  find  that  it  varies  as  much  m  form  as 
the  nose,  and  its  position  not  unfrequently  is  so  prone  as  to  render  a  good 
view  of  the  subjacent  parts  almost  an  impossibility.  Then,  too,  in 
irritable  persons  it  undergoes  a  variety  of  contortions  and  contractions, 
which  give  it  a  character  for  muscularity  greater  than  anatomists  show  it 
to  possess.  Still,  as  a  rule,  it  serves  merely  as  a  land-mark  anatomically 
and  pathologically ;  anatomically,  because  its  well-known  relations  tell 
you  in  what  direction  to  look  for  more  important  organs  ;  pathologically, 
because  the  appearance  of  the  mucous  membrane  covering  the  epiglottis 
is  often  a  valuable  indication  as  to  the  state  of  the  subjacent  parts. 
Examine  the  epiglottis  carefully,  the  form,  the  color,  the  attachments. 
It  should  be  perfectly  smooth,  of  a  pale,  yellowish  rose  hue,  and  sym- 
metrical. Look  at  the  fossa  formed  by  the  front  of  the  epiglottis  with 
the  base  of  the  tongue,  and  note  the  state  of  any  secretions  upon  or 
near  the  epiglottis.  In  disease  you  will  see  its  color  varying  from 
the  dull  white  of  anemia  to  every  shade  of  uniform,  or  streaky 
and  patchy  redness.  It  may  present  ulcers  of  varying  size  and 
depth ;  it  may  be  deformed  by  old  cicatrices  or  congenital  malfor- 
mation ;  tumefaction  from  inflammatory  or  cedematous  thickening  of 
the  mucous  and  submucous  layers  may  present  itself ;  and  it  may 
exhibit  extravasations  of  blood,  or  be  more  or  less  bathed  in  pus,  or 
covered  with  a  mucous  secretion.  Similar  conditions  may  be  discovered 
in  the  glotto-epiglottid  fossa,  or  on  the  glotto-epigiottid  folds.  In 
order  to  see  the  parts  subjacent  to  the  epiglottis,  you  will  have  to  depress 
the  handle  of  your  mirror  somewhat,  so  as  successively  to  illuminate  the 
posterior  surface  of  the  epiglottis ;  the  arytenoid  cartilages,  with  the 
corpuscula  Santorini  and  Wrisbergii  ;  the  superior  thyro-arytenoid  folds, 
or  the  false  vocal  cords,  as  they  are  also  called  ;  and  by  turning  the  mirror 
laterally,  you  will  examine  the  right  and  left  sides  of  the  introitus 
laryngis,  and  especially  the  state  of  the  ventricles  of  the  larynx.  These 
are  cul-de-sacs  intervening  between  the  vocal  cords  proper,  and  the 
superior  thyro-arytenoid  folds.  The  state  of  the  ventricles  has  an  impor- 
tant bearing  on  the  production  of  the  voice,  inasmuch  as  their  patulous- 
ness  is  essential  to  the  free  vibration  of  the  vocal  cords,  and  the  due  pro- 
duction of  voice.  If  the  mucous  membrane  of  the  ventricles  is  swollen, 
the  pitch  and  sonorousness  of  the  voice  is  interfered  with,  and  the  more 
the  j)oucli  is  obliterated,  the  greater  will  be  the  interference  with  phona- 
tion.  It  is  here  that  various  secretions  form  and  accumulate,  and  you 
will  readily  understand  why  these  should  more  or  less  aifect  the  voice,  as 
they  present  obstacles  to  the  passage  of  the  air,  or  diminish  the  vibra- 
tions of  the  aerial  pulse.  If  the  secretions  are  viscid,  you  may  at  times 
be  puzzled  by  strings  of  mucus  extending  across  the  entrance  of  the 
larynx,   closely  simulating  the  vocal  cords  themselves.     Little  patches 


Part  IT. 

67   CHATHAM   STREET,   NEW-YORK.  73 

Branch  Store,  107  East  28th   S'l-.,  N.  Y 

of  secretion  may  also  simulate  ulcers.  The  sponge  or  brush  will  readily 
remove  such  secretions,  and  show  the  condition  of  the  subja(;ent  mem- 
brane. The  ventricles,  moreover,  are  the  frequent  seat  of  mor})id 
growths.  All  these  points  having  been  noted,  you  seek  the?  vocal  cords 
themselves. 

In  a  healthy  larynx  the  vocal  cords  stand  out,  with  a  clear  pearly 
sheen  which  is  peculiarly  characteristic.  Once  seen,  the  appearance  is 
not  to  be  forgotten ;  and  you  will  often,  in  doubtful  cases  of  laryngeal 
disease,  rejoice  at  recognizing  this  striking  feature,  because  it  will  prove 
that  the  most  important  part  involved  in  phonation  (so  far  as  the  larynx 
is  concerned)  is  healthy.  The  vocal  cords,  or  inferior  thyro-arytenoid 
ligaments,  are  mainly  composed  of  yellow  elastic  tissue,  but  are  endowed 
with  the  most  marvelous  capability  of  minute  vibratile  adjustment, 
subject  to  the  controlling  power  of  the  will,  exercised  through  the 
arytenoid,  thyro-arytenoid,  crico-arytenoid,  and  other  muscles.  It  has 
been  calculated  that  no  less  than  one  hundred  muscles  are  brought  into 
action  in  the  ordinary  modulation  of  the  voice,  but  the  note  which  is 
uttered  depends  upon  the  exact  degree  of  tension  of  two  ligaments,  at 
the  utmost  seven  lines  in  length,  which  is  mainly  determined  by  the  two 
sets  of  muscles  mentioned.  You  will  have  a  measure  of  the  minuteness 
of  this  adjustment  when  you  reflect,  that  a  practised  singer  is  capable  of 
uttering  three  hundred  different  notes  at  will,  for  each  of  which,  on  this 
minute  vibrating  cord,  a  different  stop  must  be  applied. 

The  vocal  cords  are  covered  with  mucous  membrane,  distinguished 
from  the  mucous  membrane  of  the  rest  of  the  larynx,  which  is  ciliated, 
by  being  squamous.  The  mucous  membrane  overlies  the  elastic  tissue  of 
the  cords,  and  is  liable — though  to  a  much  less  extent  than  the  mucous 
membrane  in  the  vicinity — to  congestion,  and  the  various  morbid  changes 
which  are  seen  in  this  tissue  elsewhere.  An  accurate  knowledge  of  the 
anatomy  and  physiology  of  the  parts  will  enable  you  more  fully  to 
appreciate  the  importance  of  minute  shades  of  difference  in  the  appear- 
ance of  the  parts.  A  roughness  of  the  surface  or  a  discoloration,  which 
would  lead  to  no  palpable  results  elsewhere,  here  affects  the  comfort,  the 
occupation,  the  life  of  the  patient,  and  is  therefore  well  deserving  the 
study  of  the  practitioner  by  any  additional  physical  means  that  may  be 
placed  at  our  disposal.  Here,  too,  we  have  a  good  illustration  of  the 
difference  between  vital  morbid  conditions,  and  the  condition  of  the  same 
parts  as  seen  after  death  ;  a  difference  that  you  should  always  bear  in 
mind,  as  you  may  otherwise  easily  be  misled  into  a  wrong  interpretation 
of  the  phenomena  presented  on  the  post-mortem  table.  If  you  had 
merely  seen  the  interior  of  a  larynx,  removed  from  the  body,  you  would 
scarcely  anticipate  the  marked  contrast  that  exists  in  life  between  the 
vocal  cords  and  the  adjacent  parts,  nor  would  it  be  possible  satisfactorily 
to  determine  the  mode  in  which  the  variations  of  sound  are  produced  by 
the  vocal  cords.  You  will  find  that  there  w^as  much  uncertainty  as  to  the 
theory  to  be  adopted  regarding  vocalization,  even  in  Miiller  s  time  ;  and 
it  was  not  until  after  the  practical  introduction  of  the  laryngoscope  by 
Czermak,  that  the  study  became  satisfactory  and  the  conclusions  definite. 
If  I  name  Czermak,  it  is  not  because  I  do  not  appreciate  the  labors  of 
others  in  this  field ;  but  whatever  others  have  done,  he  certainly  has 
compelled  us  all,  by  the  demonstration  of  the  comparative  facility  of 
laryngoscopic  examination,  to  make  it  a  part  of  our  medical  studies. 

It  would  be  an  injustice,  in  speaking  of  the  subject,  not  to  mention 
the  name  of  M.  G-arcia,  a  well-known  singer  and  amateur  physiologist. 


Part  IT. 

74  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfarre. 

who  established  by  laryngoscopic  examination  much  that  is  now  known 
as  to  the  physiology  of  the  larynx  before  Czermak  had  made  known  his 
method  ;  but  the  pearl  that  M.  Garcia  discovered  was  not  appreciated  by 
our  profession,  and  therefore,  so  far  as  the  medical  world  are  concerned, 
laryngoscope  remained  an  unknown  quantity  until  the  appearance  of 
Czermak  s  monograph. 

It  is  not  my  object,  for  the  present,  to  do  more  than  to  interest  you  in 
the  practical  employment  of  the  laryngoscope  in  the  recognition  and  treat- 
ment of  disease  ;  therefore  I  do  not  attempt  to  lay  before  you  an  account 
of  laryngeal  physiology — a  branch  of  science  which  is  capable  of  further 
development,  and  which  some  of  you  may  feel  called  upon  to  promote. 
Allow  me  yet  to  revert  to  a  few  points  connected  with  the  pathology  of 
the  larynx,  to  which  I  would  draw  your  attention,  as  illustrating  the 
value  of  this  mode  of  investigating  disease.  The  practical  examination 
of  the  numerous  cases  that  present  themselves  in  our  hospital,  will  serve 
to  impress  upon  your  memory  and  comprehension  more  vividly  what  I 
now  merely  show  you  veluti  in  specido. 

I  have  spoken  of  various  morbid  changes  seen  in  or  near  the  vocal 
cords,  showing  increased  or  diminished  vascularity,  congestive  or  (Ede- 
matous swellino-,  ulceration,  cicatrices,  growths,  all  of  which  I  have 
myself  seen.  If  you  consider  the  muscular  and  the  nervous  functions  of 
the  parts,  you  will  expect  to  see  these  also  materially  affected  by  disease. 
The  j9Zi<:-.s — evidenced  by  spasm — is  not  likely  to  be  very  visible,  because 
it  will  not  leave  you  time  for  any  thing  but  immediate  action  to 
relieve  your  patient ;  but  the  minus  of  paralytic  conditions  is  frequently 
observable  in  the  irregular  action,  or  want  of  action,  of  one  or  both  vocal 
cords.  It  is  here  that  stimulation,  and  notably  the  direct  application  of 
galvanism,  is  often  of  palpable  benefit.  And  you  will  not  examine  many 
larynges  before  you  will  satisfy  yourselves  of  the  perfect  facility  with 
which  you  may  direct  the  galvanic  current,  as  well  as  any  other  medicinal 
ap]3lication,  to  any  given  part  of  the  larynx. 

I  have  not,  however,  quite  done  yet.  You  may  see  further  than  the 
vocal  cords.  Their  under  surface  can  at  present  only  be  examined  when 
there  is  a  hole  in  the  trachea,  and  at  least  one  instructive  instance  is  on 
record  where  this  mode  of  .exploration  was  practiced  with  much  benefit  to 
the  patient.  But  these  are  refinements  of  practice  upon  which  it  is 
unnecessary  to  dwell.  I  now  merely  speak  oi  the  ordinary  employment 
of  the  laryngoscope,  and  I  Avisli  to  remind  you,  that  having  explored  the 
entrance  to  the  larynx  and  the  vocal  cords,  you  should  examine,  as  far  as 
may  be,  the  trachea.  It  is  generally  easy  to' recognize  several  rings  of  this 
tube,  and  you  may,  when  the  larynx  is  capacious  and  the  patient  steady, 
penetrate  to  the  very  bifurcation  of  the  trachea.  The  only  morbid  condi- 
tions that  I  have  definitely  recognized  in  the  trachea,  have  been  scattered 
ulcers  ;  but  it  is  manifest  that,  especially  in  those  cases  in  which  foreign 
bodies  have  slipped  through  the  glottis,  the  discovery  of  their  exact  site 
by  the  laryngoscope  may,  as  it  already  has  been,  prove  of  great  practical 
value  to  the  surgeon. 

There  is  no  better  mode  of  initiating  yourself  into  the  practice  of 
laryngoscopy  than  to  examine  your  own  larynges,  or  those  of  your  fellow- . 
students.  By  this  kind  of  exercitation,  yoii  "vvill  familiarize  yourself  with 
the  use  of  the  instrument,  no  less  than  with  the  healthy  condition  of  the 
parts.  M.  Garcia' s  interesting  observations  were  entirely  the  result  of 
examination  made  upon  his  own  vocal  cords,  and  as  there  is  room  for  a 
further  cultivation  of  this  field  of  physiology,  each  of  you  may  be  enabled 


Part  II. 

67  CHATHAM   STREET,   NEW-YORK.  75 

Branch  Store,  107  East  28tit  St.,  N.  Y. 

to  advance  science  in  this  direction.  But  apart  from  this,  th(;  mere 
dexterity  of  manipulation  will  be  in(;reased  by  the  practice  re(;omm ended, 
and  if  you  know  from  experience  in  your  own  persons  how  to  behave, 
you  will  more  readily  advise  your  jaticMits  what  to  do,  and  sympathize 
with  their  difficulties.  Not  every  one,  however,  is  a  suitabh;  subject  for 
autolaryngoscopy  ;  the  narrowness  of  the  introitus  laryngis  and  the  prone 
condition  of   the  epiglottis,  no  less  than  an  unusual  irritability  of   the 

Earts,  frequently  render  the  process  extremely  difficult.  Various  methods 
ave  been  suggested  for  the  removal  of  undue  irritability,  such  as  the 
inhalation  of  small  quantities  of  chloroform,  the  application  of  bromide 
of  potassium,  or  the  use  of  astringent  gargles.  Every  now  and  tlien, 
even  after  you  have  acquired  sufficient  dexterity  in  the  use  of  the  instru- 
ment, you  will  meet  with  cases  which  present  insuperable  difficulties. 
You  are  then  no  worse  off  than  your  predecessors  were  without  the 
laryngoscope.  You  will  have  to  fall  back  upon  those  other  symptoms 
which  your  knowledge  of  physiology  and  pathology  will  teach  you  to 
appreciate,  and  which  this  instrument  is  not  intended  to  supersede. — Lan- 
cet, April  8,  1865,  %>.  360. 


SETS  OF  LARYNGOSCOPIC   INSTRUMENTS   IN  CASES. 


LAKYNG-OSCOPIC    SET  No.  1. 


1  Reflector,  11 -inch  focal  distance,  3-inch  diameter,  with  Tiemann 

&  Co.'s  Head-band, 

2  Laryngeal  Mirrors, 

1  Lente's  Caustic  Probe, 

1  Morocco  Case,  lined  with  Velvet, $14  00 


LAKYNG-OSCOPIC   SET  No.  2. 


1  Tongue  Depressor,  steel  handle,  japanned, 

1  Reflector,  11 -inch  focal  distance,  3i-inch  diameter,  with  Tiemann 

&  Co.'s  Head-band,  ball  and  socket  movement, 
3  Laryngeal  Mirrors,  assorted  sizes, 
1  Sponge-Holder,  delicate, 
1  Lente's  Silver  Caustic  Probe, 
1  Morocco  Case,  lined  with  Velvet, S20  00 


Paht  II. 

76  GEO.  TIEMANN  &  CO.'S   SURGICAL  INSTRUMENTS, 

F.   A.   Stohlmann.  Edwakd  Pfarkb. 


eiAL  IM'STEUMlHTi. 


Fig.  311.     Tobold's  Large  Laryngoscope  and  Student's  Lamp. 


Also  Tobold's  Pocket  Laryngoscopes,  with  or  without  Student's  Lamp. 
Fig.  812.     Seeger's  Modification  of  Tobold's  Laryngoscope  for  Gas-light. 

1 


Pabt  II. 

G7   CHATHAM   STREET,  NEW-Y(;J{K. 
Branch  Store,  107  East  28tii  St.,  N   Y. 

Fig.  3125.     Sclirnotter's  Lniyiigoacope,  -with  Nasal  Rest. 


11 


LARYlSrG-OSCOPIC   SET  No,  3. 


3  Laryngeal  Mirrors,  assorted  sizes, 

1  Reflector  (frontal  mirror),  ll-inch.  focal  distance,  3|^-incli  diameter, 
with  Tiemann  &  Co.'s  Head-band,  ball  and  socket  movement, 
1  Churcli'  s  Tongue  Depressor,  self -holding, 
1  Uvula  Hook,  hard  rubber, 
1  Lente'  s  Silver  Caustic  Probe, 
1  Sponge-Holder,  delicate, 
1  Morocco  Case,  lined  with  Velvet, $25  00 


LARYNaOSCOPIC   SET   No.  4. 


1  Reflector  (frontal  mirror),  11 -inch  focal  distance,  with  Tiemann 

&  Co.'s  Head-band,  ball  and  socket  movement, 
1  Church' s  Tongue  Depressor,  self -holding, 
3  Laryngeal  Mirrors,  assorted  sizes, 
1  Pair  Simrock'  s  Throat  Forceps,  for  holding  sponge,  camel'  s-hair 

brushes,  or  for  extracting  foreign  bodies  or  polypii, 
1  Uvula  Hook,  hard  rubber, 
1 ,  Lente' s  Silver  Caustic  Probe, 
1  Morocco  Case,  lined  with  Velvet, 828  00 


Pakt  II. 
78  GEO,  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 


BsEAh  MB'iR'^MEMTB, 


HA- 


Fig.  313.     Mackenzie's  Lis^lit  Concentrator. 


Fig,  314.     Elsberg's  Pocket  Laryngoscope. 


3. TIEMANN  SCO. NY 


TO    OPvDER, 

STUDENTS'    LAMPS, 

DIRECT  LIGHT  CONDENSERS, 

RECIPRO-LARYNGOSCOPES, 

SMITH'S    MIRROR-HOLDERS, 

SEMELEDER'S  SPECTACLE-FRAME  LARYNGOSCOPES, 
WALDAU'S   REFLECTORS, 

CUTTER'S  AUTO-LARYNGOSCOPE, 
ETC.,   ETC.,    ETC. 


Part  II. 
67  CHATHAM  STREET,  NEW-YOEK:.  79 

Bbanch  Store,  107  Eaht  28tii  St.,  N.  Y. 


Fig.  315.   Pocket  Illuminator.  The  instrament  is  main- 

ly constructed  of  brass, 
and  is  provided  with  a 
lamp  for  kerosene  or  oil, 
the  wick  admitting  of  an 
easy  adjustment  by 
means  of  a  side-screw. 
The  handle  can  be  folded 
against  the  chimney,  so 
that  the  instrument  can 
be  packed  in  a  small  com- 
pass. The  light  passes 
through  a  convex  lens, 
and  can,  by  means  of  a 
sliding  cap,  be  focused  at 
varying  distances,  from  two  to  five  inches.  It  may  prove  useful  in  opera- 
tions upon  the  ear,  vagina,  rectum,  and  throat,  and  may  be  of  gTeat  ser- 
vice in  operations  at  night,  where  a  strong  and  reliable  light  may  not 
always  be  obtainable. 


Fig.  SlSb.    Collins'  Lamp. 


For  the  illumination  of  cavities,  such  as  :  the  eyes, 
ears,  nares,  mouth,  pharynx,  larynx,  &c.,  to  aid  in 
speculum  examinations. 

The  apparatus  consists  of  a  reservoir,  V,  filled  with 
sponge  ;  with  this  a  cotton  wick  comes  in  contact  and 
runs  up  to  the  light  chamber  ;  this  is  closed  by  a  con- 
cave reflector,  M,  and  a  lens,  L,  to  project  the  rays  of 
light  parallel. 

"To  charge  the  lamp,  the  lower  part  is  removed  and 
a  quantity  of  mineral  oil  poured  in — ^just  enough  to  sa- 
turate the  sponge  ;  it  is  then  turned  upside  down  to 
expulse  any  liquid  that  may  have  settled  on  the  bottom. 

To  light  the  lamp,  remove  the  lens,  L,  with  its  mount- 
ing, and  ai3ply  a  match  to  the  wick ;  the  lens  being  re- 
placed, the  flame  may  then  be  regulated  by  the  screw. 

To  extinguish  the  light,  it  suffices  to  blow  into  the 
little  chimney  of  the  apparatus. 

To  clean  the  reflector  (after  removing  the  lens),  you 
rub  it  with  a  piece  of  clean  linen  or  chamois-skin. 

The  heat  of  the  hand  communicated  to  the  reservoir, 
sometimes  disengages  an  excess  of  hydrocarbonic  va- 
por and  makes  the'flame  flicker  ;  this  is  overcome  by 
lowering  the  wick. 


80 


Pakt  it. 

GEO.    TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarke. 


0EAL,  LAETHeiAL,  AMD  ffiSO^PHA- 
eiAL  MST-EUMIHTS. 


Figs.  316,  317,  318.    Tobold's  Laryngeal  Knives. 


Fig.  819.  Grant's  (Edema 
Glottis  Instrument. 


Part  II. 
67  CHATHAM  STREET,  NEW  YORK. 

Branch  Store,  107  East  38th  St.,  N.  Y. 


81 


Fig-.  3226.    Mackenzie's  Laryngeal  Lancet,  two  blades. 


Fig.  323.    Mackenzie's  Laryngeal  Forceps,  Scissors  and  Ecraseur 


Fig.  324.     Tiemann  &  Co.'s  Scissors,  movable  points. 


Fig.  325.    Sclirceter's  Laryngeal  Lancet  and  Forceps. 


Pakt  II. 

82  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward   Pfakre. 


,  LAWimBMAh,  MSB  fflSOP] 


Ftg.  326.     Buck's  Tliroat  Lancet. 


Part  II. 
67   CHATHAM   STREET,   NEW-YORK. 
Bhajs-cii  SToiiK,  107  East  28tii  St.,  N.  Y, 

&/1AX,  IMBtmUMlHT^e, 

Fig.  331.     Burge's  Throat  Forceps. 


83 


Fig.  332.     Fauvel's  Laryngeal  Polypus  Forceps. 


|4S  '  iMiB  mEm< 

Pig.  333.     Matliieu's  Throat  Forceps. 


Fig.  334.     Schaflfer's  Throat  (and  Uterine)  Scoop. 


Fig.  335.     Tiemann  &  Co.'s  Laryngeal  Scoop 


Fig.  336.     Bristle  Probang,  for  Removing  Foreign  Fodies. 


TIEMANN-CO  NY 


Part  II. 
84  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


OMAL/,  LAETHe-lAL  AMD  ffiiOPHA- 


Part  II. 

67  CHATHAM  STREET,  NEW-YORK. 

Branch  Store,  107  East  38th  St.,  N.  T. 


85 


OEAL.  LAETHGIAL  ABB  ffiSOPHA^ 


^^^^ 


wmi: 


Se 


Fig.  345.    Laryngeal  Caustic  Carrier,  concealed. 


W 


o 


PQ 


O 


P-i 


CO 
O  JO 


o^jjutmw-  CO. 


r^rfinifuj. 


PQ 


P. 


ptH 


q^iiiiiiiiiiminiiiTrrmTTTn 


w 


pq 


Fig.  348.    Elsberg's  Insufflator,  or  Powder  Blower. 


«  s 

3  « 

F^-fl 

liig 

»^^ 

fa 

«eQ 

t3 

-BS:! 

5: 

27^ 

W^ 

^' 

^ 

fO 

o 

M 

^ 

^ 


w 


CQ 


fM 


See  page  69.     Remarks  for  using  Caustic  Probes  and  Syringes. 


Part  II. 
86  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

E.  A.  Stohlmann.  Edward  Pfarre. 


OMAL,  LARYBmMAL,  AHB  ffliOPHA- 


eiAL  IHiTEUMlNT 


tjO 


Fig.  350.    Laiyngeal  Powder-Blower,  Hard  Rubber. 


Fig.  351.    Clay's  Powder  Insufflator. 


Fig.  3525.    Leffert's  Powder  Blower,  with  mouth  piece. 


Part  II. 

G7  CHATHAM    STREET,  NEW-YORK. 
Branch  Stoke,  107  East  28tii  St.,  N.  Y 


87 


0EAL,  LAETMQ'IAL,  AND  mSM¥mA 
QMiMh  IHSTr-ElJMlNi:-S. 


Fig.  356.     Fullgraf  s  Laryngo-Tracheal  Douche. 


Fig.  357.     Fullgraf  s  Flat-Bill  Laryngeal  Spray. 


Fig.  358.     Fullgraf  s  Glass  Powder-Blowing  Tubes^  for  tlie  Posterior  Nares. 

CD 


Fig.  359.    Fullgraf  s  Laryngeal  and  Posterior  Nares  Douclie. 


Pakt  II. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Ppakke. 


INHALING  APPARATUS. 

Fig.  360.     Bergson's  Steam  Atomizer. 
a. 

c 


S.  TIEMANN.  CJ  .  fM    v 

Fig.  361.    Tiemann  &  Co.'s  Steam  Atomizer. 


All  other  Steam  Atomizers  for  sale.     Directions  for  use  accompany  each  Instrument. 


Part  II. 

67  CHATHAM  STREET,  NEW-YOKK. 

Branch  Store,  107  East  28Tir  St.,  N.  Y. 


89 


INHALING  APPARATUS. 

Fig.  363.     Richardson's  Spray  Producer. 


Fig.  3646.     Sass'  Spray  Producer,  with  Receiver  and  Air  Pump. 


Pakt  II. 
90  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pparke. 


INHALING  APPARATUS. 


Fig.  364r.    Tiemann  &  Co.'s  Universal  Syringe. 


Fig.  364rf.    Warner's  Catarrhal 
Douche. 


For  Injections  of  Caustic  Solutions,  etc. ;  appli- 
cable to  the  Uterus,  Male  andTeraale  Urethra  and 
Bladder,  Ear,  Larynx,  Nares;  with  a  Hard  Rub- 
ber Stopcock  to  fit  Catheters  or  Trocars,  for  Hy- 
drocele, etc. 


Fig.  364e.    Chapman's  Nasal  Spray. 


Fig.  364f.    Ramage's  Inhaler. 


Fig.  364^-.    Robinson's  Powder  Blower. 


Pakt  II. 
67  CHATHAM  STREET,  NEW  YORK.  91 

Branch  Store,  107  East  28Tir  St.,  N.  Y. 


INHALING  APPARATUS. 

Fk4.  oGi").     JSTewiimn's  Atomizer. 
Fi<;  I. 


92 


Part  II. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pparre. 


INHALING  APPARATUS. 


Fig.  367d.    Mackenzie's  Inhaler. 


Fig.  367e.     Croup  Kettle. 


Fig.  368.    Dobell's  Residual  Air-Pump. 


Fig.  368&.    Hot  Air  Bath 


Pakt  II. 

67  CHATHAM  STREET,  NEW-YORK.  93 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


TEACHIOTOMT    IHSTEUMIHTB. 


Fig.  369.     Buck's  Tracheotomy  Guide. 


K 


fH 


K 


« 


f^ 


Fig.  370.     Langenbeck's  Tracheotomy  Double-Hook. 

T-NNVIM3I-1'0 


Fig.  373.     Tiemaiin  &  Co.'s  Tracheotome  and  Dilator. 


Part  II. 
94  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

P.  A.  Stohlmann.  Edward  Pfarre. 


TEACHIOTO'MT  IFfBTCmUMlF/T- 


to 


Fig.  376*.     Pilcher's  Retractor. 


Fig.  3796.    Fiuo-er  Protector. 


Fig.  381.     Silver  Trachea  Canula. 


Fig.  381/j.     Hank's  Tracheotome. 


fi 


Eh 


6 
O 

a 

a 


Pakt  IL 
67   CHATHAM   STREET,   NEW-YORK.  95 

Branch   Store,  107   East  3STir    S'i-.,  N.  Y 


TEACH1©T©MY  mBTEUMENTS, 


Fig.  383.     Double  Trachea  Tube, 
Movable  Plate,  Silver. 


Fig.  mi     Double  Trachea  Tul).' 
Silver,  Plain. 


Fig.  384.     Mop,  for  Cleaning  Canulas  in  situ. 


Fig.  386.     Gendron's  Split  Canula,  Silver. 


Fig.  385.     Trachea  Cauula,  Hard  Rubber. 


Fig.  387.     Trousseau's  Forceps,  for  Removing  Clots  of  Blood  or  Mucus 
from  the  Canula  while  in  situ. 


Fig.  389.     Johnson's  Double  Canula  and  Obdurator. 
Modification  of  Durham's. 


Part  II. 

96  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


TEACHIA   IKSTEUMIF/T 


USS 


Fig.  390.     Tiemann's  Tracheal  Aspirator. 


For  clearing  the  trachea  of  blood -clods  or  mncns,  after  the  insertion  of 
the  trachea-tube.  It  is  simply  a  hard  rubber  syringe  terminating  into  a 
soft  rubber  cup.  This  is  easy  of  application  over  the  inserted  canula.  If 
the  thumb  be  placed  on  the  air-hole  of  the  barrel,  the  soft  rubber  cup 
applied,  the  piston  drawn,  mucus  or  clods  of  blood  will  enter  the  barrel. 
By  taking  the  thumb  oif  the  air-hole,  the  instrument  detaches  easily,  may 
be  cleansed  and  used  again  if  necessary. 


Fig.  391.    Trendelenburg's  Trachea  Tampon. 


The  Trachea-Tube  (a)  is  made  of  silver.  A  soft  rubber  sheath  is  drawn 
over  the  front  i:»art  of  it.  A  small  canula  (5),  to  which  a  rubber  hose  and 
bulb  attaches,  admits  of  blowing  air  between  the  rubber  sheath  and  the 
silver  tube,  inflating  the  rubber  so  as  to  completely  fill  the  trachea  ;  a  clamp 
prevents  it  from  collapsing.  The  object  of  this  is  to  keep  the  blood  from 
entering  the  trachea  or  lungs  whilst  the  surgeon  is  operating  in  the  throat 
above  the  instrument,  at  the  same  time  the  lungs  are  supplied  with  fresh 
air  through  the  larger  opening  of  the  silver  tube.  An  anaesthetic  may  be 
administered  by  connecting  the  Inhaling  Apparatus  (c)  with  it. 

In  using  the  apparatus,  please  observe  the  following  : 

1.  Before  drawing  a  tampon  over  the  canula,  moisten  both  parts  with 
water. 

2.  Before  inflation,  warm  the  tampon  a  little. 

3.  Do  not  inflate  the  tamjoon  except  within  the  trachea  or  within  a  tube 
of  like  dimensions,  say  a  speculum  or  other  glass  cylinder. 

4.  The  tampon  should  not  be  too  old. 


Part  II. 
67  CHATHAM  STREET,  NEW  YORK.  97 

Branch  Store,  107  East  28Tn  St.,  N.  Y. 


IPmOMlTlEB   ANB   PF/IUMATIC 


s^ 


»)  A  nr^iTTl©. 


Fig,  393.    Richardson's  Instrument  to  re-establish  Respiration. 


Fig.  393.     Waldenburg's  Pneumatic  Apparatus. 


Fig.  394.    Tobold's  Pneumatic  Apparatus. 


Part  II, 
98  GEO.  TIEMANN"  &  CO.'S  SURGICAL  INSTRUMENTS, 

E.  A.  Stohlmann.  Edward  Pparre. 


IFIEO'lilTimS   AHD   PNIUMJ. 
APFAEATUi. 


Fig.  395.    Waldenburg's  Pneumatometer. 


Fig.  396.    Brown's  Spirometer. 


Fig.  398.    Barnes'  Spirometer. 


Fig.  397.    Frankel's  Pneumatic 
Apparatus. 


Fio.  399.    Plutcliinson's  Spirometer. 


Part  II. 
67  CHATHAM  STREET,  NEW  YORK.  99 

Branch  Store,  107  East  28th  St.,  N.  Y. 


Ilfi 


F0E  ITMl  AUMIM^ 
TAWi  CANAL. 


Fig.  400.     Lever  Stomach  Pump  and  Enema  Apparatus. 


DIRECTIONS. 

When  used  as  a  Stomach  Pump,  attach  the  stomach  tnbe  (a)  firmly  on 
to  the  lower  tap  (b)  of  the  pump,  and  affix  the  hose  (c)  on  to  the  side  tap 
(d).  Place  the  mouth-gag  (e)  between  the  jaws  of  the  patient,  and  intro- 
duce the  stomach  tube  through  the  aperture  ;  this  mouth-gag  serves  the 
two-fold  purpose  of  keeping  the  mouth  open  and  of  protecting  the  stomach 
tube  against  possible  injury  from  the  patient' s  teeth.  After  pressing  the 
lever  (/')  down,  which  opens  the  instrument  for  asxDiration,  the  piston  is 
drawn  out  by  the  handle  (r/) ;  this  fills  the  barrel  of  the  pump  with  part 
of  the  contents  of  the  stomach,  which  are  then  ejected  through  the  hose 
(c)  by  first  letting  the  lever  (/)  loose,  and  then  pushing  the  piston  down. 
A  few  repetitions  of  this  operation  will  relieve  the  stomach  of  its  fluid  or 
masticated  contents.  The  hand  (s)  connected  with  the  lever  (/)  indicates 
that  tap  of  the  instrument  shut  towards  which  its  point  is  turned. 

Before  attempting  to  discharge  the  stomach  of  its  contents  a  quantity  of 
warm  water  should  be  iDumped  into  it,  as  this  will  facilitate  the  operation 
very  much. 

To  charge  the  stomach,  merely  reverse  the  action  of  the  pump,  having 
immersed  the  hose  (c)  into  the  fluid  prepared  for  this  purpose,  which 
should  be  held  in  a  narrow,  deep  bowl. 


100 


Part  II. 
GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 


F.  A.  Stohlmann. 


Edwakd  Pfarre. 


Tlie  hard  rubber  screw  (7/)  is  used  for  reducing  lockjaw,  or  for  forcing 
tlie  montli  open,  which  is  done  by  screwing  it  between  the  Jaws. 

.  WHEN   USED  AS  AN  INJECTING  APPAEATUS. 

For  self -administration,  screw  the  hose  (c)  on  the  side  tap  {d)  of  the 
pump,  affix  the  angular  injecting  pipe  (/)  in  an  upright  direction  into  the 
other  end  of  the  hose,  and  adjust  the  short  metal  foot  {k)  to  the  lower  end 
{b)  of  the  pump.  Place  a  basin,  containing  the  enema,  upon  a  chair,  and 
sit  iipon  another  chair  opposite  ;  then,  having  introduced  the  pipe,  hold 
the  instrument  upright  in  the  fluid  with  one  hand,  working  the  handle  up 
and  down  with  the  other  in  the  same  way  as  stated  above.  When  the  in- 
jection is  administered  to  another  person,  the  straight  pipe  {I)  is  used  more 
conveniently. 

The  elastic  tube  (m),  called  "O'Beirn's"  tube,  is  used  for  severe  con- 
stipation of  the  bowels,  and  may  be  passed  up  to  the  arch  of  the  colon. 

N-  B. — In  affixing  the  tubes  to  and  detaching  them  from  the  pump,  their 
metal  fittings  only  should  be  handled.  After  the  use  of  gruel,  or  any 
thick  fluid,  wash  out  the  instrument  by  pumping  water  through  it.  If  the 
piston  gets  hard,  and  allows  water  to  pass  over  it,  it  should  be  oiled,  and 
a  little  worsted  evenly  wound  around  it  under  the  leather,  which  will  ren- 
der it  as  perfect  as  at  first. 


Fig.  401.    Tiemann  &  Co.'s  Stomach  Pump. 


Fig.  402.    Toswill's  Syphon  Stomach  Pump. 
(With  directions  for  use.) 


Part  II. 
67  CHATHAM   STREET,  NEW  YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


101 


Ilf  iimUMlF/TB  FOE  THE  ALIMENT 

TAWi  CAFIAL. 


Ftg.  408.     Paine's  Nasal  Feeding  Tube. 


For  feeding  maniacs  or  persons  wlio  are  unable  or  unwilling  to  open  the 
mouth.  This  tube  is  made  of  soft  rubber,  with  our  patent  velvet  eye.  Its 
advantages  are  that  the  introduction  causes  no  pain  ;  there  is  no  struggling 
to  weary  the  patient ;  all  the  food  enters  the  stomach,  and  none  is  thrown 
about  the  room  ;  respiration  proceeds  regularly,  and  even  conversation 
may  continue  without  hindrance.  The  objections  to  it  are  those  against 
the  much  used  stomach-tube  ;  while,  over  that  instrument,  from  the  non- 
necessity of  forcing  open  tightly  clenched  jaws,  and  because  of  the  ina- 
bility of  the  patient  to  prevent  its  passage,  it  holds  a  true  and  deserved 
supremacy.  Its  adaptability  is  not  confined  to  cases  of  melancholia.  It 
may  be  used  in  choking  paretics  or  in  paralysis  of  the  throat  from  any 
cause  ;  it  might  be  used  in  fractures  of  the  jaw,  when  teeth  would  other- 
wise be  sacrificed  ;  and  in  cancer  of  the  mouth,  or  where  food  cannot  be 
taken  readily  and  naturally. 

Fig.  40 1.    Funnelled  Feeding  Tube  (English  and  French). 


«i.T\t*AA.U^-  V,Q. 


Fm.  405.     Rectal  Feeding  Tube. 


All  the  above  may  be  used  with  funnels,  or  may  have  an  attachment 
for  the  stomach  pump. 

Fig.  406.    Masticator. 


For  mincing  meats. 


Useful  to  persons  who  have  lost  their  teeth,  or  who 
are  unable  to  masticate  by  reason  of  accident,  disease  or  old  age.  Also 
for  persons  who  refuse  to  take  food  on  account  of  diseased  mind. 


Part  II. 
102  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarke. 


Fig.  407.    Tiemann  &  Co.'s  Universal  Douche  (constant  current). 
A  B 


Fig.  408.    Improved  Fountain  Syringe. 


Operating  automatically,  dispensing  with  all  pumping,  valves,  &c.  They 
do  not  act  spasmodically,  and  cannot  inject  air.  They  serve  for  injecting 
the  rectum,  vagina,  urethra,  ear,  nose,  &c. 

Syphon  Syringe, .     fig.  553.  Part  III. 

Recto-Colonic  Pump,        .        .        .        .        .        .  fig.  575.  Part  III. 

Maw' s  Enema  Pump,    .        .        .        .        .        .  .     fig.  678.  Part  III. 

Universal  Syringe, .  fig.  377.  Part  III. 

Davidson's  Syringe,      .         .         .         .         .         .  .     fig.  361.  Part  III. 

Syphon  Syringe, fig.  362.  Part  III. 

Woodward's  Douche, fig.  375.  Part  III. 

On  hand,  all  sizes  of  Metal  and  Hard  Rubber  Syringes  of  the  univer- 
sally-known old  style. 

Anal  and  Rectal  Instruments, page  117.     Part  III. 

Hernia  Instruments,       .        .        .        ...         page  126.     Part  III. 


Part  III. 


Edwaeds'  Eckaskub. 


Please  do  JVOT  MUTILATE  this  Booh. 

In  ordering,  merely  state  the  Part  of  the  Armamen- 
tariuin,  the  Jfuniher  of  the  Figure,  and  the  Kame  of  the 
article  desired. 

Instruments  not  mentioned  in  our  Price  List  will  he 
furnished  at  the  loiuest  market  rates. 

When  GOODS  FOR  REPAIR  are  directed  to  us,  the 
Owner's  Kame  and  Address  should  accompany  them. 
This  will  enable  us  to  return  them  to  the  proper  place 
and  person. 

Parties  finding  it  convenient  to  order  through  dealers 
are  requested  to  insist  upon  receiving  our  manufacture, 
as  otherwise  inferior  goods  are  frequently  substituted. 

All  instruments  of  our  make  have  our  name  stamped 
upon  them. 


Part  III. 

CEO.  TIEMANIT  &  CO.'S  SURGICAL  INSTRUMENTS, 

No.  67  Chatham  Street; 

Branch   Store,  IVo.    lOT   Jilasi;  T^vonl  y-clg-litli   Wtreet» 

NKW-YORK. 


PEIPUCI  mBTEHMMMT 

Fig.  1.      Fisher's  Phymosis  Forceps. 

hi 


G.TIEMANMcSCr 


Fig.  2.     Roger's  Phymosis  Forceps. 


Fig.  4.      Probe  and  Spatula  for  the  Frsenum. 


Fig.  6.  Hutchison's  Forceps  for 
rupturing  the  mucous  membrane  of 
the  prepuce. 


Part  III. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlm.wn.  Edward  Pfarre. 

UmiT'HEAL   DfiTEUMlHTS. 


Fig.  8.     Weir's  Fig.  86.     Skene's  Folsora's  Fig.  9.     Desormeaux's  Endoscope. 

Meatoscope.  Speculum. 


Fig.  10.     Otis'  Endoscopic  Tube. 


Fig.  11.     Skene's   Urethral  Speculum. 


Fig.  11<5.     Laveur's  Endoscope. 


Skene's  Endoscope,  Fig.  50,  Supplement, 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


!1A\T> 


SCALES    OR    OXJAOES. 

Fig.  12.     Gouley's  Metrical  Sound  Guagc. 
a.     Metrical  Diameter.  b.     English  Numbers. 


u 

o 

O    w 

o  ^ 

O 

05 

O  - 
O  - 

1 

05 

O  - 

k 
<0 

O 

00 

O^ 

^■^     o 


:^  o 

^       O      e- 

-  o 

"  o  5  Q 
»  o 

-  O  ' 


This  Guage  consists  of  twenty  numbers,  the  smallest  one  millimetre,  and  the  largest  ten  a  half 
millimetres  in  diameter,  with  a  difference  between  each  two  numbers  of  half  a  millimetre  instead  of 
one-third,  as  in  the  French  scale.  On  one  side  of  this  Guage  is  stamped  the  diameter  of  each  aperture 
in  m.illimetres,  and  on  the  reverse  side  numbers  from  No.  J^  to  No.  l8,  which  very  nearly  correspond 
to  the  numbers  of  the  Englisli  scale.  Upon  the  handle  of  each  Gouley's  Sound  both  the  English  num- 
l)er  and  the  metrical  diameter  are  stamped. 


GOULEY'S  SET  OP  12  COHICAL  STEEL  SOUITDS. 

Mckel  plated,  highly  polished,  in  a  mahogany  or  rosewood  case,  lined 

with  silk  velvet $28  00 


Part  III. 

4  GEO.  TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann,  Edward  Pfarre. 


VAU  BUREl^  L  KEYES'  SET 

OF 

URITHEAL  HfiTEUlilHTS, 


1  American  Guage, |  4  50 

12  Conical  Steel  Sounds,  nickel-plated,  2d, 18  00 

3  Whalebone  Guides,  1  long,  2  short, 1  80 

1  Otis'  Catheter, 3  00 

1  Silver-Plated  Catheter,  No.  12,  1  00 

2  Silver-Plated  Prostatic  Catheters, 3  00 

I  Thompson's  Tunnelled  Divulsor, 1 2  00 

1   Civiale's  Bistoury  Cache, 5  00 

1  Civiale's  Urethrotome, 14  00 

1  Gouley's  Catheter  Staff, 3  50 

1  Pair  of  Urethral  Forceps, 3  00 

1  Cupped  Sound,  No.  12,  nickel-plated, 2  75 

4  English  G.  E.  Catheters, 1  00 

12  French  G.  E.  Conical  Bougies, 9  00 

P)  French  G.  E.  Olivary  Catheters, 6  00 

4  Mercier's  Elbowed  Catheters, 5  00 

IT  Bougies  a  Boule, 17  00 

1  Mahogany  Case,  lined  with  oil-dyed  cotton  velvet, 12  00 

Amount, $121  55 


BEl^igUE'S  SET  OF  STEEL  SOUUDS. 

12  Steel  Sounds,  Benique's  Curve,  nickel-plated.   1  Mahogany  Case,  lined 

with  oil-dyed  velvet, $28  00 


SET  OF  PLAIIT  CYLIUDHICAL  STEEL  SOUNDS. 

12  Steel  Sounds,  Thompson's  Curve,  plain.    1  Mahogany  Case,  lined  with 

oil-dyed  velvet,    $18  00 


Branch  Store, 


Pakt  III. 
67   CHATHAM    STREET,    NEW-YORK. 

_____^^^  107  East  28th  St.,  N.  Y. 


UEITHEAX/  IN'Sf  ETOIIHTB, 


Fig.  13      THE    AMKRIOAIV     SCALE. 
By  Drs.  Van  Bvrkn  ami  Kkyes. 


2q 


ooQ^s: 


o 

CO 


«o  (3  W  00 


lUJ 


rt<    O    f^  ra 


w    o    ^2 


o^ 


<N 

0 

-n 

•  ■*.CC  £/> 

LAi   CS 

U 
N 

CO 

^s 

<  — 

o  =; 

s 

e. 

O^ 

o  i 

O^ 

O  "^ 

o^ 

O  i 

-o  *: 

iO' 

.o  i 

to- 

*  O    »3 

SIZE    BY 

9                  27 

M»  O      STT 


10   O         — 


y^--\ 

~ 

1               12  «    o 

- 

V     J 

v^,^^ . 

- 

1- 

< 

Su 

X  N 

iuj 

X 

Q. 

z 

0. 

< 

_ 

Fig.  38.     American  Scale,  Front.  Fig.  39.     American  Scale,  Back. 

The  diameter  of  each  American  size  is  |  its  number  in  mills.     15=74  mil] 
For  computing  the  exact  corresponding  French  size,  add  K  of  itself  to  any  American  size 
French  numbers  are  made  American  by  subtracting  i-  30  Fr.=(30— 10)  ''^O  V'=8  3=2* 


Part  III. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.  Stohi.mann.  Edward  Pfarre. 

WEITHEAL   HfiTEUMlHT'i. 


Fig.  14.    THE    IMETItIC     SC^LE. 


Comparison  of  the  French  and 
French  =  No.  28  English,  by  Dr, 


Englisli  Sound  Guages,  enlarged  to  No.  40 
Otis. 


•H     O   O 

C\I   o 

M  o 

■^  O  05 
Cd 

too 

00 

i>0 


^-^  in 

O] 


0"i 


%0" 


O" 


-oo 


o 
n 


^ 


G. TIEMANN   &C0 


o 

o. 

O 

o 

wo 

o 


o^ 


01 

/^ — X   '^  ~ 


J 


G.TIEMANM  &  CO. 


Part  III. 
67   CHATHAM   STREET,   NEW-YORK, 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


UEITHEAL  IlfBTEUMlNITSJ 


^.^m 


Fig.    145.     Proper  Curves  for  unyielding   Urethral   Instruments. 

RECOMMENDED    I)Y 

DR.   THOMPSON,   A.  B.  E.  DR.   GOULEY,  A.  B.  E. 

"       VAN   BUREN,  A.  B.  E.  "       BENIQUE,  C.  B.  D. 

"       BUMSTEAD,  F.  B.  E.  "      OTIS,  F.  B.  E. 

See  the  works  of  the  above  authors  for  particulars. 


Fig.  14c.     Spermatorrhcea  Rin^ 


Fig.  15.     Conical  Steel  Sound. 


Fig.  16.     Straight  Conical  Steel  Sound. 


Part  III. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.  Stohlmann,  Edward  Pfarre. 


VAK  BUEEF  S,  KEYES'  COMPACT  SET 

OF 


1  Grooved  Staff, $  2  00 

3  Whalebone  Guides,  1  long,  2  short, 1  80 

4  Tunnelled  Sounds, 12  00 

1  Thompson's  Probe-Pointed  Catheter,  modified  by  Otis, 3  00 

1  Silver  Catheter,  No.  12,  short  curve, . 2  25 

1   Thompson's  Tunnelled  Divulsor, 12  00 

1  Civiale's  Bistoury  Cache, 5  00 

1  Civiale's  or  Maisonneuve's  Urethrotome, 14  00 

1  Gouley's  Catheter  Staff, 3  50 

1  Silver  Probe, 0  36 

1  Small  Scalpel, 0  80 

1  Silver  Director-Pi-obe 1  50 

1  Curved   Trocar, 3  00 

1  Double  Silver  Tube, 3  00 

1  Morocco  Case,  with  extra  spaces,  lined  v^ith  oil-dyed  cotton  velvet,  silk 

finish, 12  00 


Amount, $76  21 


VAN  BUEEN'S  SET  OF  CONICAL  STEEL  SOUNDS. 

12  Conical  Steel  Sounds,  nickel-plated.     1  Mahogany  Case,  lined  with 

oil-dyed  velvet, $28   00 


VAN  BUREN'S  SET  OF  CONICAL  STEEL  SOUNDS 

12  Conical  Steel  Sounds,  nickel-plated,  1  Rosewood  Case,  lined  with  silk 

velvet, ,  .  . .  $35  00 


Part  III. 
G7   CHATHAM   STREET,    NEW-YORK. 
Branch  Store,  107  E.  38th  St.,  N.  Y. 


Instruments  for  Exploring*  Strictures,  &c. 


Fig.  17. 


No.  1.   Bougie  a  trois  noeuds. 

2.  Bougie  a  boule.     Mallez': 

3.  Bougie  a  boule.     Dick's. 

4.  Bougie  conique. 

5.  Bougie  olivaire. 

6.  Bougie  conique  a  ventre. 


No.  7.  Bougie  olivaire  a   ventre. 
"    8.  Olivary  Wlialebone  Bougie. 
"    fi.  Elastic   Filiform  Bougie. 
"10.  Mallez's  Powder  Insufflator. 
"11.  Mercier's  Sonde  coudeo. 
"  12.  Mercier's  Sonde  bicoudee. 


Pabt  III. 

10  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


GOULEY'S  COMPLETE  STUICTURE  SET. 

(SUPERIOR    FINISH.) 

6  Steel  Sounds,  conical,  @  $1   75, $10  50 

1    Goulej's  Diviilsor,  nickel-plated, 12  00 

1  Gouley's  Retention  Catheter, 3  50 

1  Gouley's  Catheter  Staff, 3  50' 

6  Gonley's  Tunnelled  Sounds,  @  $3 18  00 

1  Gouley's  Meatotome, 3  00 

1   Director  Probe,  silver, 1  50 

1  Beaked  Bistoury 1  50 

5  English  Bougies  a  boule,  @  $1 5  00 

12  English  olive-pointed  Bougies, 9  00 

6  English  Gum  Catheters 2  00 

6  Whalebone  Guides, 3  60 

2  English  Tunnelled  Catheters, 2  00 

1  Metrical  Sound  Guage,  German  silver, 2  50 

1   Gouley's  Dilating  Urethrotome,  2  points, 15  00 

1  English  and  French  Rule, 0  40 

1  Rosewood  Case,  lined  with  silk  velvet, 16  00 

$109  00 


The  same  Set  in  a  Mahogany  Case,  lined  with  cotton   velvet,  the  Sound 

Guage  of  Paper, $105  00 


GOULEY'S  COMPACT  STRICTURE  SET. 

4  Conical  Steel  Sounds,  nickel-plated,  @  $1  75, $  7  00 

3  Gouley's  Tunnelled  Sounds,  @  $3 9  00 

1  Gouley's  Retention  Catheter, 3  50 

1  Gouley's  Dilating  Urethrotome,  2  points, 15  00 

1   Gouley's  Meatotome, 3  00 

1  Gouley's  Catheter  Statt", 3  50 

1  Beaked  Bistoury, 1  50 

1  Grooved  Director  Probe,  silver, 1  50 

1  Mahogany  Case,  (with  extra  spaces),  lined  with  oil-dyed  cotton  velvet,      6  00 

$50  00 


Part  III. 


G7   CHATHAM    STREET,    NEW-YORK. 
Branch  Store, 107  E.  28th  St.,  N.  Y. 


.11 


^^S« 


Fig.  18.     Glass  Alealoscopc. 


Fig.  31. 
Points  of  Gouley's 
Whalebone  Guides. 


Part  III. 

12  GEO.   TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


BUMSTEAD'S  SET 

OF 


A. 

1  Bumstead's  Maisonuetive  Urethrotome, $14  00 

i  Set  of  Holt's  Divulsors, 18  00 

1  Bumstead's  Retention  Catheter, 4  00 

12  Filiform  Boiiojies,  with  screw-heads  to  lit  all  the  above  instruments,.  .  12  00 

1  Oiviale's  Bistoury  Cache, 5  00 

1  Trocar  and  Canula, 3  00 

1  Thompson's  Probe-Pointed  Catheter, 3  00 

1  Pair  of  Thompson's  Urethral  Forceps, 3  00 

1  Silver  Catheter,  No.  S,  French  scale 2  25 

1  Silver  Catheter,  No.  22,  French  scale, 2  25 

1  Silver  Prostatic  Catheter, 3  00 

1  Silver  Female  Catheter, 1  00 

1  Syme's  Staff, 2  00 

6  G.  E.  Conical  Bougies, 4  50 

6  G.  E.  Olive-Pointed  Pougies, 4  50 

6  Acorn-Pointed  G.  E.  Bougies 6  00 

9  Bumstead's  Steel  Sounds,  nickel-plated,  a, 23  50 

1  Bumstead's  Guage, 3  00 

1  Rosewood  Case,  lined  with  silk  velvet, 18  00 

Amount, $132  00 


Bumstead's  Set  of  Urethral  Instniments  B. 

Contains  the  same  number  of  instruments  as  No.  A,  but  the  Steel  Sounds 
are  second  quality,  nickel-plated,  and  the  lining  of  the  case  is  oil- 
dyed  cotton  velvet, $120  00 


BUMSTEAD'S  SET  OF  STEEL  SOUNDS. 

12  Bumstead's  Steel  S«.)unds,  nickel-plated,  1    Mahogany  Case,  lined  with 

oil-dyed  velvet, $28   00 


Branch  Store 


Part  Ml. 

67   CHATHAM    STREET,    NEW-YORK. 

107  E.  28th  St.,  N.  Y. 


13 


Fig.  26.     Caro's  Modification  of  Squire's  Vencljrated  Catheter 


Fig.   30.      Olivary  Gum   Catheter. 


Fig.   31.      Thompson's  Retention  Catheter. 


G.TLEMANN-Ca. 


Part  III. 

14  GEO.  TIEMANN'  &   CO.'S   SURGICAL    INSTRUMENTS. 

F.  A.  Stohlmann,  Edward  Pfarre, 


VAN  BUREIT  &  EEYES'  SET  OP  INSTRUMENTS 

FOR  STONE. 

1  Thompson's  Searcher, $  4  00 

1  Thompson's  Lithotrite,  heavy, 35  00 

1  Thompson's  Lithotrite,  light, 35  00 

1  Evacnating  Catheter,  ITott's, 4  50 

1  Pail-  Urethral  Forceps,  Thompson's, 2  50 

2  Lithotomy  Staffs,  lateral,  @  $2 4  00 

1  Median  Lithotomy  Staff, 2  00 

1  Lithotomy  Scalpel, 2  00 

1    Lithotomy  Bistoury,  straight,  sharp  pointed, 2  00 

1  Blizard's  Knife, 2  00 

1  Blunt  Gorget, 2  50 

1  Little's  Director, 2  00 

1  Scoop, 2  50 

1  Pair  of  Lithotomy  Forceps,  with  crossed  handles, 3  00 

1  Pair  of  Lithotomy  Forceps,  with  curved  blades, 3  00 

1  Pair  of  Crushing  Forceps, 6  00 

1   Tube  with  globular  head,  for  washing  the  bladder, 2  00 

1  Shirted  Canula, 1  50 

1  Keith's  Tenaculum, ....  1  25 

1  Mahogany  or  Rosewood  Case,  lined  with  oil-dyed  velvet, 18  00 


Amount, $134  75 


LITHOTOMY  SET. 

2  Steel  Sounds, .- $  2  00 

3  Lithotomy  Staffs, 6  00 

1  Liston's  Bistoury, 2  00 

I  Blizard's  Bistoury, 2  00 

1  Lithotomy  Scalpel, 1  50 

1  Scoop  and  Conductor,   2  50 

2  Lithotomy  Forceps,  medium  and  small, 5  00 

1   Double  Current  Catheter,  silver, 6  50 

1  Hard  Rubber  Syringe,  with  a  stopcock  to  fit  the  Catheter, 4  50 

1  Mahogany  or  Rosewood  Case, 15  00 

Amount, $47  00 


Part  III. 
67  CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


15 


UEITHEAX-  IHBTEUMIMT-S, 


CA^THETEPtS. 


Fig.  32.     Holt's  Self-Retaining  Catheter. 
(See  description,  page  Id.) 


Deseripiion  of  Hutchinson's 
Prostatic  Catheter. 

(Fig.  8.5.) 

A  silver  prostatic  catheter, 
with  a  large  eye  in  its  con- 
cavity, permitting  of  the  in- 
troduction   of    a    portion    of 
india-rubber  tube  through  it. 
The   india  -  rubber    tube   is 
shown  in  position. 
After  introducing  the  tubing 
into  the  bladder,  the  catheter 
is  withdrawn,  and  a  small  noz- 
zle, with   rings,  is    introduced 
into  the  end  of  the  india-rubber 
tube  to  allow  of  its  being  fixed 
to  the  penis.      A  stiletted  plug 
for  the  nozzle,  intended  in  the 
first   place    to  plug  its   orilice, 
and  in  the  second  to  stiffen  the 
first  three  inches  of  the  tube, 
will  prevent  its  being  bent  and 
expelled. 

The  nozzle,  having  been  pas- 
sed into  the  meatus,  is  fastened 
firmly  to  the  penis  by  means  of 
tapes  and  plaster.  Take  care 
that  it  is  fixed  pretty  tightly 
and  with  good  plaster,  and  in- 
struct your  patient  never  to 
take  the  plug  out  excepting 
when  he  wishes  to  void  urine. 


Part  III, 

16  GEO.   TIEMANN    &  CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann,  Edward  Pfarre. 


MAY'S  LITHOTOMY  SET. 

1  Pair  of  Lithotomy  Forceps,  large, $3  00 

1  Pair  of  Lithotomy  Forceps,  medium, 3  00 

1  Pair  of  Lithotomy  Forceps,  small, 3  00 

3  Plain  Steel  Sounds,  @  $1 3  00 

2  Lithotomy  Staffs,  @  $2 4  00 

1  Canula  a  Chemise, 1  50 

2  English  G.  E.  Catheters, 0  50 

1  Sharp-Pointed  Lithotomy  Scalpel, 2  00 

1  Probe-Pointed  Lithotomy  Scalpel, 2  00 

1  Probe-Pointed  Lithotomy  Bistoury    2  00 

1  Hard  Rubber  Syriuge,  No.  5,  the  nozzle  to  fit  the  Catheters, 3  00 

1  Mahogany  Case,  lined  with  oil-dyed  velvet, 12  00 

Amount, $39  00 


THE  MANNER  OF  INTRODUCING  HOLT'S  SELF-RETAINING 
CATHETER  {Jigs.  32,  33). 

The  Catheter  is  stretched  upon  the  stilet,  and  fastened  to  the  handle  ready 
for  introduction,  which  is  afi'ected  as  follows  : — 

Suppose  the  Catheter  a  No.  8  guage  ;  insert  the  stilet  and  draw  the  india- 
rubber  upon  it  towards  the  handle,  until  the  size  of  the  Catheter  is  reduced  to  a 
No.  4.  Fix  it  in  that  situation  by  tying  a  piece  of  string  immediately  in  front 
of  the  puckered  portion,  and  fasten  it  to  the  hole  in  the  handle.  Thus  the 
calibre  of  the  Catheter  is  reduced  one  half,  and  will  easily  enter  the  bladder. 
The  string  may  now  be  untied,  and  the  Catheter  will  resume  its  ordinary  size. 
Where  the  urethra  is  sufficiently  capacious,  the  Catheter,  previous  to  being 
used,  may  be  passed  into  a  No.  12  silver  Catheter,  having  an  opening  at  the  end, 
and  when  in  the  bladder  the  silver  Catheter  may  be  withdrawn.  (See  fig.  35.) 


VULCANIZED    INDIA-RUBBER   CATHETERS.     {See  Jig.  40.) 

In  the  case  of  old  men  affected  with  retention  of  urine  without  stricture, 
MM.  Richet,  Maisonneuve,  &c.,  employ  vulcanized  India-rubber  sounds,  as  do 
many  of  our  own  surgeons.  This  flexible  sound,  even  in  cases  where  there 
exists  considerable  enlargement  of  the  prostate,  seems  to  find  its  own  way  in  the 
urethra  with  the  utmost  facility.  It  causes  less  irritation  than  others  when  left 
in  the  urethi*a.  The  latest  improvement  is  Tiemann  &  Co.'s  Velvet  Eye  Cath- 
eter, fig.  38,  Supplement. 

SET  OF  SILVER  CATHETEHS. 

12  Silver  Catheters,  one  bottle  for  oil,  one  guage,  one  Mahogany  Case, 

lined  with  fine  velvet, $25  00 


Part  III. 
67  CHATHAM   STREET,  NEW  YORK,  17 

Branch  Store,  107  East  /sStii  St.,  N.  Y. 

SKENE'S  URO  CYSTIC  AND  URETHRAL  SET. 

2  Skene's  Urethral  Specula , . . <, $3  00 

1  Folsom's  Speculum  (modification) 1  50 

1  Skene's  Eeflux  Catheter  for  Bladder 2  00 

1  Skene's  Eeflux  Catheter  for  Urethra 2  00 

2  Silver  Probes  .  c ..........  , 75 

1  Sponge  Holder  (steel  wire)  .. , 50 

1  Knife  (wire) 75 

1  Blake's  Polypus  Snare  (Ear) 3  50 

1  Allen's  Polypus  Forceps  (Ear) 4  50 

2  Glass  Pipettes,  6  inches  long 50 

2  Head  Mirrors,  on  same  strap,  S^  in.  and  1|-  in .12  00 

1  Lente's  Caustic  Cup 3  00 

2  Skene's  Self-Retaining  Catheters  (modification  of  Goodman's) 2  00 

2  Rectal  Endoscopes  (long  and  short)  with  Fenestrated  Rubber  Specula,    6  GO 

3  Urethral  Endoscopes  (Kos.  13,  15,  17,  American,)  with  Beveled  Rub- 

ber Specula 6  75 

2  Beveled  Urethral  Endoscopes  (Nos.   19,   21,  American,)  with  Fenes- 
trated Rubber  Specula 4  50 

1  Brush  for  cleaning  Endoscopes 10 

1  Rosewood  or  Mahogany  Case,  lined  with  oil  dyed  velvet 10  00 


Amount.. $63  35 


LITTLE'S  MEDIAIT  LITHOTOMY  SET. 

4  Little's  Staffs,  Kos.  7,  9,  10,  12 " $8  00 

1  Straight  sharp-pointed  Bistoury 2  00 

1  Little's  Director 2  50 

1  Pair  Dressing  Forceps 1  50 

2  Pairs  Lithotomy  Forceps 6  00 

1  Thompson's  Searcher 5  00 

1  Small  Sound,  for  children 1  00 

1  Canula  a  chemise 1  50 

1  Hard  Rubber  Syringe,  No.  5,  nozzle  to  fit  Catheters 3  00 

1  Dolbeau's  Stone  Crusher 6  00 

1  Lithotomy  Scoop,  ebony  handle 2  50 

1  Mahogany  Case,  lined  with  oil  dyed  velvet  (or  morocco  covered,  if  pre- 
ferred  1500 

Amount |54  00 


18 


Part  III. 

GEO.  TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.   Stohlmann,  Edward  Pfarre. 


UEITHEAL  IlfBTEUMlIfTS. 


CATMIilTEIiS. 


U 


o     I 

3: 


Tiemann  &  Co.'s  Patent  Velvet   Eye  Catheter, 
fig.  38,  Supplement. 


Fig.  41.     Thompson's  Improved  Vulcanized  IndiaRubber  Catheter. 


A 


A  to  B  shows  the  length  of  the  German-silver  tube  which  at  this  part  lines  the  tube  and  stiffens  it. 

C.  Anterior  portion  of  Catheter,   which   remains   flexible,    and   conducts  away   the   urine  ;    a  peg  is 
fitted  into  it 

D.  Posterior  portion  of  Catheter,  which  remains  flexible,  and  rests  in  the  urethra  and  bladder. 

E.  A  piece   of  stout  silk,  the  free   ends   of  which,   lightly   tied  behind  the   glans   penis,  secure  the 
Catheter  in  its  place. 


Part  III. 

67   CHATHAM    STREET,   NEW-YORK. 

Branch  Store,  107  K    28th  St.,  N.  Y. 


19 


UEITMEAL  IHSTEUMIF/TS, 


Fig.  42.      Teevan's  Tunnelled  Catheter  and  Guide. 

The  conducting'  bougie  is  made  of  whalebone,  and  is  excessively  fine,  having 
each  end  olive-shaped,  which  prevents  tiie  instrument  from  pricking  the  mucous 
membrane  or  lodging  in  the  lacunse ;  it  must  be  two  inches  longer  than  the 
Catheter.  The  Catheter  is  about  the  size  of  a  No.  1  English,  and  its  end  is  cut 
off  to  permit  the  bougie  to  enter  the  canal  at  a  and  emerge  at  b,  through  the 
slit  extending  from  b  to  c,  which  serves  as  a  groove  for  subcutaneous  or  external 
urethrotomy.  2  shows  tliat  the  groove  is  made  by  cutting  out  a  longitudinal 
piece  of  the  Catheter.  Urine  will  not  escape  through  it,  for  the  mucous 
membrane  is  tightly  stretched  across  it,  and  so  completely  closes  the  groove. 


Fig.   42.      Teevan's  Tunelled 
Catheter  and  Guide. 


"5  ^ 

<.r.  _ri 

■B  <u 


C    V 

^  o 


ti-S 

O  13 
.S  c; 


te     OJ    ^-     O  7, 


•5   tJ3c 


.S  ^^^ 


E  3^ 


C     Gi    s 

a  u  o 


Also,  Mason's  Improvement  of  Thompson's  Prostate  Sound  and  Tube. 


Part  III. 

20  GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

UEITHEAL  IIieTEUMlIITS. 


Fig.  44.     Reginald   Harrison's  Pessary  Catheter. 


Fig.  446.     Hiiter's  Flat  Catheter. 

OO'^NNVIAIBIl'S 


o  tJ 


Part  III. 

67  CHATHAM   STREET,    NEW-YORK. 

Branch  Store,  107  E.  28tii  St.,  N.  Y. 


21 


^EITHEAL  mSTEUMlM'TS 


Fig.  48.     Long  Pipe   Urethral  Syringe.      Hard  Rubber. 


22 


Part  III. 
GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F,    A.    StOHI.MANN. 


reEAL'  mSTEUMI 


Edward  Pfarre. 


"    Fig.  55.     Battle's  Gonorrhcea  Syringe. 


Fig.  G3.     Hard  Rubber  P.  P.  Syringe. 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK.  33 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


UEIT'HMAX;  DfeTEUMlNTB 


^^m 


Fig.  64.     Thompson's  Divulsor. 


Part  III. 

94  GEO.   TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann,  Edward  Pfarre. 


UEIT-HEAL  IIIBTEUMEHT 


^iO 


Fig.  72.     Burge's  Curved  Stricture  Dilator. 


I'AKT   III. 

67  CHATHAM    STREET,   NEW-YORK.  ^5 

Branch  Store,  _    ,__,.__^      107  E.  28Tn  St.,  N.  Y. 


Fig.  76.     Civiale's  Bistoury  Cache. 


Fig.   77       Gouley's  Tunnelled  Urethrotome. 


C.  TIEMANM-CO. 

Fig.  79      Mastin's  Maisonneuves  Urethrotome. 


Fig.  80.     Gross'  Urethrotome. 


Fig.   81.      Otis'  Dilating   Urethrotome,   No.  1. 


Fig.  82.     Otis'  Dilating  Urethrotome,   No.  2. 


B.  TIEMANN  &  DO. 


XT     V       X^ 


Part  III. 
26  -  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann,  ^^^  Edward  Pfarre. 

UEITHEAX,  IHSTEUMllfTi. 


Fig.  83.     Voillemier's  Urethotome. 


I'art?  Ill 

67   CHATHAM    STREET,    NEW-YORK. 
Branch  Store,  107  E.  28t]i  St.,  N.  Y. 


im 


UEITHEAL  mSTEUMlNTS. 


I]VTEI4IV.^5>J^    XJIiETHItOTOM:^'     IlVSTiiUiyEKIVTS. 


Fig.  90.     Gouley's  Dilating   Urethrotome. 


IG.  93.     Otis'  Dilating  Urethrotome,  No.  3. 


Fig.  92. 
Fig.  91.  Otis'  Dilating 

Geo.  K.  Smith's  Urethrotome, 

Urethrotome.  No.  4. 


Fig.  94. 
Otis' 

Urethra- 
meter.  pj,._  95_ 

Bumstead's 
Urethrotome. 


tART  III. 

28  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann,  Edward  Pfarre. 


UMITHMAL  meTEUMllfT 


\(^A 


i]Vstiitjm:ents. 


Part  III. 
67  CHATHAM    STREET,   NEW-YORK. 
Branch  Store, 


107  E.  28th  St.,  N.  Y. 


29 


UEITHEAL  mSTEUMllf ^S. 


Fig.   101  {a,  b,  c,  d,e.)     Gouley's  Instruments. 


The  capillary  probe-pointed  whalebone  Bou- 
gie (a)  is  introduced  into  the  urethra.  If  it 
enters  a  false  passage,  it  is  retained  in  silu  by 
the  left  hand,  while  another  is  pa.ssed  by  its 
side.  If  this  second  guide  makes  its  way  into 
the  false  passage,  it  is  to  be  treated  precisely 
as  was  the  first,  and  the  operation  repealed  till 
one  guide  can  be  made  to  pass  the  obstruction 
and  enter  the  bladder.  The  next  step  is  to  in- 
troduce a  No.  8  grooved  metallic  catheter  (B), 
with  a  quarter  of  an  inch  of  its  extremity 
bridged  over  so  as  to  convert  the  groove  into  a 
canal,  the  bridged  portion  itself  being  also 
grooved,  the  operator,  feels  for  and  opens  the 
canal  upon  this  groove.  A  loop  of  silk  is  then 
passed  through  each  edge  of  the  incised  urethra, 
the  catheter  is  withdrawn  a  little,  so  as  to  bring 
into  view  the  black  guide  ;  then  the  stricture, 
with  about  half  an  inch  of  the  uncontracted 
canal  behind  it,  is  divided.  This  is  best  ac- 
complished by  means  of  the  small,  narrow, 
beaked,  straight  bistoury  (D  .  Amott's  grooved 
probe  (c),  may  be  used  as  a  guide  for  the 
incision.  (e)  is  a  Tenaculum,  useful  in  the 
operation  ;  a  full  description  of  the  operation 
will  be  furnished  on  application. 


Fig.   102.     Hewitt's  Staff  and  Knife. 


Part  III. 
30  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

UElTHmAL   IKSTEUMlM'Ti* 


INSTRUMENTS   FOR   TAPPING   THE   BLADDER. 


inOE.    RECTAL    FXJlSrCTXJRE. 

Fig.  105.     Rectum  Trocar. 


Fig,  108.     Dieulafoy's  Aspirator,  for  Supra 
Pubic   Puncture. 


A  descriptive  pamphlet  on  Aspirators  may  be  had  on  application. 
Other  forms  of  Aspirators,  see  page  131,  Part  I. 


Pakt  III. 
67   CHATHAM   STREET,  NEW  YORK.  81 

Branch  Store,  107  East  28ti(  St.,  N.  Y. 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

Fig.  109.     Steel  Sound. 


Fig.  112.     Andrew's  Searcher. 


Fig.  113.     Otis'  Exploring  Sound  (is  also  usee'  for  exploring  strictures) 


Fig.  114.     Steel  Sound  and  Billroth's  Sounding  Board. 


Fig.  115.     Thompson's  Searcher. 


Part  III. 
32  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann,  Edward  Pfarre. 

INSTRUMENTS  FOR  STONE  IN  THE  BLADDER 


ON   THE   CONSTRUCTION   OF   MODERN 
LITHOTRITES. 

The  articulated  Lithotrite  of  Jaoohson,  (fig.  125,  a,  b,) 
superseded  the  Trilabe  of  Hunter^  (fig.  124.) 

Weiss  introduced  the  curved  instrument  with  jaws  to 
open  and  shut,  and  Heurteloup  so  modified  it,  (tig.  122) 
that  percussion,  by  means  of  a  hammer  applied  to 
the  extremity  of  the  male  blade,  causes  fragmentation 
of  the  stone.  This  instrument  has  been  gradually 
superseded  by  the  varieties  in  use  at  the  present  time, 
i.e.  :  those  worked  by  lever  jpower^  either  with  rack  and 
pinion,  or  screw.  Sir  Wm.  Fergusson^s  instrument, 
(fig.  123)  is  worked  by  rack  and  pinion.  Its  crushing 
power  is  regulated  by  the  strength  of  the  operator's 
hand,  and  may  be  increased  by  exercising  a  certain  jerk- 
ing impulse,  resembling  that  of  the  percussion  hammer, 
or  by  using  the  hammer  itself.  The  greater  eflicieucv 
of  the  screw  as  a  power,  and  the  ease  and  smoothness 
with  which  it  acts,  have  led  to  its  very  general  adoption 
for  Lithotrites  Civiales,  (fig.  129)  Thompson's  (fig.  !l  27) 
and  Teevan's  (fig.  128)  instruments  are  worked  in  this 
way.  The  motive  power  of  these  instruments  resides 
in  the  handles  and  may  be  applied  or  detached  at  will, 
so  that  the  male  blade  can  be  withdrawn  to  the  required 
extent,  and  then  brought  into  connection  with  the  screw, 
by  simply  sliding  the  button  on  the  handle  of  Thomp- 
son's instrument,  (fig.  ]17)  or  by  moving  the  vertical 
slide  J,  on  tlie  handle  of  Teevan's,  (fig.116).  In  Civiales 
Lithotriptor  the  screw-power  is  thrown  in  and  out  of 
gear  by  a  quarter  turn  of  a  movable  disk  attached  to 
the  handle  of  the  female  blade,  (fig.   129.) 

Fig.  117.     Handle  of  Thompson's  Lithotrite. 


C.TIEMANN-C.U. 


Part  HI. 
67   CHATHAM    STREET,   NEWYORK.  83 

Branch  Store, 107  E.  28th  St.,  N.  Y. 

Considering  a  Lithotrite  as  composed  of  parts,  we  speak  of  \\\^  female  Made  and  the  male  blade.  The 
female  blade  is  the  one  continuous  and  fixed  to  the  handle  (fig.  Ii8),  it  is  deeply  grooved  for  the  recep- 
tion of  the  viale  blade  or  sliding  rod,  (fig.  iig.) 

Fig.  118.      Female  Blade  of  Thompson's  I,ithotrite. 


Fig.    119.       Male  Blade  of  Thompson's  Lithotrite. 


When  the  male  blade  is  pushed  home  as  far  as  it  will  go,  we  say  the  Lithotrite  is  closed — and  then 
call  the  curved  extremity  the  beak,  the  other,  by  which  we  take  hold  of  the  instrument,  the  handle,  (figs. 
ii6,  117,)  and  the  part  between  handle  and  beak  the  shaft.  When  the  male  blade  is  drawn  out,  the 
beak  separates,  or  opens,  and  we  now  speak  of  the  halves  asjaws,  (figs.  120,  121). 

Fig.  120.     Fenestrated  Jaws  of  (Thompson's)  Lithotrite. 


G.TIEMANN-CO. 

7'/^^y«wj- of  Lithotriptors  vary  in  strength  and  structure,  in  accordance  with  the  work  required  of 
them.  For  reducing  stones,  of  large  size  and  considerable  hardness,  to  fragments,  the  male  blade  is 
narrow,  with  deep  and  sharp  angular  teeth,  while  the  female  blade  is  broad,  heavy  and  fenestrated, 
(fig.  120).  In  closing  the  jaws,  fragments  and  detritus  are  forced  through  this  fenestrum,  so  that  no 
clogging  or  impaction  can  take  place. 

Fig.  121.     Closed  Jaws  of  Lithrotrite. 


For  crushing  small  or  soft  calculi,  or  for  pulverizing  fragments,  the  jaws  of  the  Lithotriptor  are 
shorter,  less  heavy  and  their  opposing  surfaces  are  simply  roughened,  so  that  detritus  produced  may  pass 
off  with  the  urine. 

Mercier  has  made  valuable  improvements  in  the  jaws  of  Lithotriptors,  in  fig.  121  will  be  observed  a 
slit  at  the  base  of  the  female  blade  T,  through  which  accumulated  detritus  is  ejected  by  means  of  a 
ploughshare  or  spur  T,  which,  at  the  same  time,  adds  enormously  to  the  strength  of  the  instrument.  This 
spur  fits  into  the  eye  of  the  female  blade,  so  that  if  the  finger  be  passed  over  the  hole  when  the  blades 
are  closed,  no  inequality  will  be  felt.  The  spur  is  also  made  as  seen  m  fig.  lA,  which  may  be  regarded 
as  a  model  instrument.  It  is  not  easy  to  exaggerate  the  value  of  the  spur  T,  for  it  enables  us  to  use  a 
very  slender  instrument  in  cases  where  it  would  otherwise  not  have  been  safe,  and  thus  extends  lithotrity 
to  a  field  from  whence  it  was  previously  excluded,  for  there  are  many  patients  whose  unnary  tract  is  m 
such  a  state  of  irritation  that  repeated  manipulations  with  heavy  lithotrites  could  not  be  borne. 


34 


Part  III. 

GEO.   TIEiMANN    ^S:   CO.'S    SURGICAL    INSTRUMENTS. 
F.  A.  Stohlmann,  Edward  Pfarre. 


UEITHEAL  WiTEUMlMTi 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

LITIiOTRITES. 

Fig.  122.     Heurteloup's  Lithotrite  and  Mallet. 


Part  III. 

67   CHATHAM    STREET,    NEW-YORK. 

Branch  Store,  107  E.  38th  St.,  N.  Y. 


35 


FElfHEAL  IMSTEUMIHTS, 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

Fig.  127.      Thompson's  Lithotrite. 


G.TIEMANN.  CO.N.Y 


Our  Lithotrites  are  forged  out  of 
the  best  English  steel.  The  groove 
m  the  female  blade  is  cut  with  a  ma- 
chine made  for  this  special  purpose. 
When  "finished,  thej  are  tested^  bj 
breaking  with  them  pieces  of  soft 
grindstones.  We  should  advise  sur- 
geons to  test  their  instruments  in  this 
manner,  before  attempting  to  use 
them  in  the  bladder  ;  it  will  exercise 
their  tact  and  judgment.  When  a 
stone  is  between  the  jaws  of  a  litho- 
trite and  the  screw  turned,  the  opera- 
tor will  distinctly  recognize  a  certain 
recoil  and  spring  of  the  instrument 
before  the  stone  is  crushed.  This  sen- 
sation requires  to  be  studied,  in  order 
to  know  how  far  the  instrument  may 
be  taxed  (when  used  unassisted  by 
eyesight),  on  a  bladder  calculus. 


CQ 


Part  III. 
36  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Umil'MMlX,   IlTiTEUlilWT 


ft(0 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

LITHOLAPAXY. 

RAPID    LITHOTRITY  WITH    EVACUATION. 

By  Henry  J.  Bigelow,  M.  D. 

The  following  are  the  chief  points  connected  with  the  modification  in  litho- 
trity  which  I  have  described,  and  for  which  I  propose  the  above  name. 

1.  The  calculus,  although  not  necessarily  pulverized,  is  crushed  as  rapidly 
and  completely  as  is  practicable.  The  dust  and  fragments  are  immediately 
evacuated,  and  a  serious  source  of  irritation  is  thus  removed. 

2.  This  can  be  generally  effected  in  a  single  operation. 

3.  The  operation  —  performed  of  course  under  ether  —  may  be,  if  necessary, 
of  one  or  two  hours'  duration,  or  even  longer. 

4.  The  method  applies  to  larger  stones  than  have  been  hitherto  considered 
to  lie  within  the  province  of  the  lithotritist.  It  also  applies  to  small  stones, 
nuclei,  phosphatic  deposits,  and  foreign  substances. 

5.  Evacuation  is  best  accomplished  by  a  large  tube,  preferably  straight  with 
a  distal  orifice,  the  extremity  of  which  is  shaped  to  facilitate  its  introduction, 
and,  during  suction,  to  repel  the  bladder  wall  —  and  by  an  elastic  exhausting 
bulb,  which  acts  partly  as  a  siphon.  Below  the  latter  is  a  glass  receptacle  for 
debris. 

6.  The  best  size  for  the  tube  is  the  largest  the  urethra  will  admit. 

7.  Such  a  tube  is  usually  introduced  with  facility,  if  passed  vertically  as  far 
as  it  will  go  toward  the  anus  before  changing  its  direction,  and  afterward  di- 
rected almost  horizontally,  and  passed  by  rotation  through  the  triangular  liga- 
ment. The  first  part  of  this  rule  applies  also  to  the  introduction  of  a  lithotrite, 
and  even  a  curved  catheter.     A  free  injection  of  oil  is  important. 

8.  A  small  meatus  should  be  enlarged,  or  a  stricture  divulsed,  to  allow  the 
passage  of  a  large  tube. 

9.  If  the  bladder  be  not  small,  a  large  and  powerful  lithotrite  is  always 
better  than  a  small  one. 

10.  That  this  may  have  room  for  action,  the  escaping  water  should  be  re- 
placed occasionally,  through  a  tube  inserted  a  few  inches  into  the  urethra  by 
the  side  of  the  lithotrite.     But  the  bladder  should  not  be  over  distended. 

11.  To  save  time,  and  also  to  prevent  undue  dilatation  of  the  vesical  neck,  a 
non-impacting  lithotrite  is  desirable.  The  jawa  of  a  non-fenestrated  instrument 
will  not  impact,  if  the  male  blade  is  furnished  with  alternate  triangular  notches 
by  which  the  debris  is  discharged  laterally,  and  also  with  a  long  thin  spur  at 


Part  III. 
67   CHATHAM    STREET,  NEW  YORK. 
Branch  Store,  107  East  28tii  St.,  N.  Y. 


37 


the  heel  fitted  to  a  corresponding  slot  in  the  fen i ale  hlade,  —  provided  the  floor 
of  the  female  blade,  especially  at  the  heel,  be  made  nearly  on  a  level  with  its 
7-ira.  To  repel  the  bladder,  the  female  blade  should  be, longer  and  a  little  wider 
than  is  usual.  It  should  have  also  low  sides  easily  accessible  to  fragments, — 
relying  for  strength  less  upon  these  than  npon  a  central  ridge  beloM'  the  heel. 
In  the  male  blade  of  such  a  lithotrite  the  apices  of  the  triangles  should  be  a 
little  blunted.  Lastly,  a  non-fenestrated  female  blade  protects  the  floor  of  the 
bladder,  during  a  long  sitting.  A  fenestrated  instrument  directs  sharp  splinters 
against  it.  The  latter  also  delays  the  process  of  disintegration,  by  delivering 
through  its  opening  the  same  fragments  many  times. 

12.  In  locking  and  unlocking  a  lithotrite  repeatedly  in  a  long  fig.  129b.     Bige- 
operation,  it  takes  less  time  and  is  easier  to  turn  the  right  wrist,      ^°^^  Lithotrite. 
as  in  my  instrument,  than  to  displace  the  thumb  of  either  hand  ''^''i^^ 

in  search  of  a  button  or  a  lever,  as  in  previous  instruments. 

Boston,  May  25tli,  1878. 

Fig.  129d.    Bigelow's  Evacuating 
Apparatus. 


Fig.  129c.     Stand  for  Bigelow's 
Evacuating  Apparatus. 


Part  III. 

GEO.  TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann,  Edward  Pfarre. 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 


LITHOTOIMLlir. 

Fig.  130.      Pritchard's  Anklets  and  Wristlets. 


Fig.  135.     Little's  Director  for  Median  Lithotomy 


•eO-'NNVWHIX'O 


Part  III. 
67   CHATHAM    STREET,   NEW-YORK, 
Branch  Store,  107  East  28th  St.,  N.  Y. 


39 


UEITMEAL  IF/STEUMIMTS 


W^» 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 


Fig.  136.     Straight  Lithotomy  P'orceps. 


Fig.  143.     Scoop  and  Conductor. 


a3-jsrii?wjij.'a 


Paet  III. 

40  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

r.  A.  Stohlm.\nn.  Edward  Pfarre. 


UEITHEAL   IlfBTEUIillfT 


^iC-S 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

lithotom:  Y. 

Fig.  146.     Lithotomy  Scalpel  (Depuytren's). 

/ 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK.  41 

Branch  Store,  107  East  28th  St.  N.  Y. 

^EllHEAX/   IN/STEIJMIHTS. 

INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

Fig.  140/.     Bush's  Gorget. 


mwwa 


Fig.  151.     Depuytren's  Double  Bistoury  Cache. 


Paet  III. 
4Z  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


UEITHEAL  INiTEUMlNTS, 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

SXJPHA-PXJBIC    LITHOTOIMCY^. 

Fig.  153.     Hooked  Gorget. 


Fig.  153.     Sonde  a  Dart 


Fig.  154.     Keith's  Tenaculum. 


j_j_Tii^i\/iP-  rJi\L&.  00= 


Fig.  155.     Aponeurotome. 


G.  I  /eMA/V/V-GO 


Fig.  156.     Gross'  Artery  Compressor. 


Fig.  156Z>.     Little's  Lithotomy  Forceps. 


Part  III. 

67  CHATHAM    STREET,  NEW  YORK. 
Branch  Store,  107  East  28tii  St.,  N.  Y. 


UEITMEAL   mSTEUMlNTS, 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

Fig.  157.     Dolbeau's  Dilator. 

^3 


Fig.  157&.     Guyon  Duplay's  Dilator. 


Fig.  157c.     Gouley's  Hydro-Heemostat. 
For  arresting  Haemorrhage  after  Lithotomy. 

pipiiiilllPliiwpf 


Fig.  158.     Gouley's  Lithoclasts  (double  lever) 


Fig.  1585.     Gouley's  Lithoclast  (plain). 


44 


Part  III. 

GEO.   TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


INSTRUMENTS  FOR  STONE  IN  THE  BLADDER. 

Instmrneiits   for*   Clear*ing-  tlio   Bladder*   of*  I><3l>r*is. 

Fig.  159.       Nelaton's  Evacuating  Apparatus. 


S.T/eM/tl\JNCO.  N.   > 

Fig.  161.     Van  Buren's  Debris  Syringe. 


Fig.   163.     Glover's  Evacuating  Apparatus. 


Fig.  166.     Van  Buren's  Evacuating  Catheter  and  Ba 


Pakt  hi. 
67   CHATHAM    STREET,    NEW-YORK. 
Branch  Store,  107  E.  38th  St.,  N.  Y. 


45 


UEITHEAL  W/STEUMIMT'S, 


Instniiixoiitjai   for   Cloiiriii^   tl»o   BltKiclor   of*  Delbriss   siikI   for 
Extracting-  Foreig-ii    Iio<lies   from   tlie   Urethrti. 


Fig.   167.     Double  Current  Catheter 


Fig.   170.     Curved  Urethral   Forceps  (Alhgator). 


Fig.  171.      Straight  Urethral  Forceps  (Alligator). 


Fig.   172.     Leroy  d'Etiolles   Urethral  Scoop. 


Fig.   173.      Reliquet's   Urethral   Stone  Cruslier. 


PAliT   III. 

46  GEO.   TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann,  Edward  Pfarre. 


UEITHEAL  WSTEFMlIfTS, 


Fig.  174.     Henry's  Depilating  Forceps. 


Fig.   177.      Set  of  four  Trocars  for  Hydrocele,  etc. 


Also    Plain  Trocars. 
Fig.  178.     Rubber  Bag  and  Stopcock  for  injecting  (Hydrocele). 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK. 


47 


Branch  Store, 


107  E.  28Tir  St.,  N.  Y. 


UKIT'MEAX/  IK"STrmUMlNf1-S. 


Fig.  179.     Miliano's  Ready  Strapper,  or  Compressor,  for  Varicocele   Swelling,  etc.,  of  the  Testes. 


We  keep  m  store  a  large  assortment  of  Suspensory  Bandages  of  all  kinds  and  patterns,  made  of 
silk,  linen,  cotton,  leather,  etc. 


Fig.  47. 


Fig,  180.      Urinals  for  Incontinence. 
Fig.  48. 


Fig.  50. 


Fig.  47  is  Tiemann's  Instrument  for  inverted  (Extrophy  of)  bladder.  It  consists  of  a  metallic  or 
hard  rubber  shield,  to  the  lower  extremity  of  which  is  attached  an  elastic  tube,  leading  to  a  soft  rubber 
pouch,  to  collect  the  urine.  This  is  buckled  to  the  thigh,  or  may  be  carried  down  to  the  boot.  Figs. 
48,  49,  50,  represent  soft  rubber  urinals  for  incontinence  of  urine.  We  have  various  other  patterns,  for 
males  and  females,  of  English,  French  and  American  make.  (Figs,  47,  48,  49,  50,  are  transferred  from 
Part  IV,  page  20,  for  uniformity's  sake,  when  ordering  from  either  book.) 


Pakt  III. 

43  GEO.   TIEMANN    &   CO.'S    SURGICAL    INSTRUMENTS. 


F.  A.  Stohlmann, 


Edward  Pfarre. 


Fig.   181.      Lee's  Lamp,   modified  by  Bumstead. 


Fig.  182.     Van  Buren's  Lamp. 


PAltT    III. 

67   CHATHAM    STREET,  NEW  YORK.  "  49 

Branch  Stoke,  107  East  2Hth  St.,  N.  Y. 

A  ITew  Instrument  for  the  Injection  of  the  Bladder, 

By  E.  L.  KEYES,  M.  D.,  of  New  York. 
Fig.  184. 


Price,  $6.00. 


The  simplicity  of  the  instrument  as  figured  is  obvious.  To  the  fountain- 
syringe  bag  holding  a  pint,  and  tube  of  variable  length,  so  as  to  allow,  if  desira- 
ble, considerable  pressure  by  elevating  the  bag,  is  attached  a  two-way  stop-cock. 
Upon  the  tube  is  another  stop-cock  only  useful  when  it  is  desired,  having  thrown 
a  medicated  solution  into  the  bladder,  to  retain  it  there  for  a  certain  length  of 
time  without  either  allowing  the  bladder  to  become  over  full,  or  its  contents  to 
escape.  The  nozzle  of  the  nickeled  stop-cock  is  very  large,  nearly  a  quarter  of 
an  inch  in  diameter,  and  fits  snugly  into  the  expanded  conical  (also  nick  led) 
mouth  piece.  It  is  so  large,  and  fits  so  easily,  that  the  most  clumsy  fingers  can 
readily  adjust  it  almost  unaided  by  sight.  Upon  this  conical  catheter  mouth- 
piece is  fitted  a  thin  piece  of  rubber  tubing  covering  its  upper  two-thirds.  This 
allows  the  mouth-piece  to  be  used  with  any  metallic  or  other  bard  catheter,  and 
prevents  leakage.  The  fine  conical  point  of  the  mouth-piece  is  to  be  screwed 
into  any  soft  catheter  before  introducing  the  latter.  The  other  branch  of  the 
two-way  stop-cock  is  fitted  into  a  short  piece  of  rubber  tubing  which  conveys 
the  urine  and  the  washings  into  some  convenient  receptacle. 

Full  directions  for  use  accompany  the  instrument. 


Pakt  III. 

60  .    GEO.  TIEMANN   &   CO.'S   SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfaree. 


Fig.   185.     Gynjecoloc^ical  Bag. 


Fig.  186.     Obstetrical  Bag. 


We  make  cases  to  hold  uterine  or  midwifery  instruments,  of  various  patterns  and 
designs,  light,  portable  and  strong,  and  very  convenient  to  carry.  They  are  covered 
externally  with  morocco,  patent  leather  or  russet-colored  trunk  leather.  The  instru- 
ments are  laid  into  blocks  carved  out  for  them  and  lined  with  fine  silk  or  oil-dyed 
cotton  velvet.  The  cases  are  so  arranged,  that  when  opened,  the  instruments  therein 
contained  are  all  exhibited  at  one  view.  Physicians  and  Surgeons  can  have  cases  ar- 
ranged according  to  their  own  design.  On  pages  53,  etc.,  will  be  found  Lists  of  Gynse- 
cological  and  Obstetrical  Sets,  as  recommended  by  eminent  American  Gynaecologists. 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK.  51 

Branch  Stork,  107  East  28th  St.,  N.  Y. 


WmM,C&h&BmAL 


i:C51 


SPECULA    V.A.<3-I]V.^2o 
Fig.  187a.     Weber's  Sijcciilum. 


Fk;.  1876.     Fryer's  Self-retaining  Speculum. 


Fig.  187c.     Graves'  Speculum. 


Fig.  187rf.     Jenk's  Speculum. 


P.UiT   III. 

52  GEO.   TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlm.'VNN,  Edward  Pfarke. 


Pabt  hi. 
67   CHATHAM   STREET,   NEW-YORK.  53 

Branch  Store,  107  East  28th  St.,   X.  Y. 


BYWM,€OjhO)mC.Ah  mS^BJJMEMTB 


^9 


Fig.  192.      Buttles'   Set  of  Uterine   Installments. 


Contains:  2  Glass  Specula. 

1  Har(j  Rubber  Syringe,  with  two  long  pipes. 
]   Handle  to  fit : 
1  Simpson's  Sound. 


A  I 


1  Sim's  razor-shaped  Knife. 
1   Sponge  Holder. 
1  Cotton  Expeller. 
1  Budd's  Whalebone  Probe. 
1  Scarifyer  and  Tenaculum. 
1  Phial  to  carry  Caustic. 

1  Russet  Leather  Case,  with   metal  hinge  and  lock,  lined 
with  oil-dyed  velvet, 


$23  00 


The  same,  with  Metallic  Specula    

Fig.  193.     Nelson's  Speculum  Vaginae. 


$26  00 


Part  III. 
64  GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 


F.  A.  Stohlmann. 


Edward  Pfarre. 


BJmM,€Mh9mCAL,  IWiTmUMUfTT'e. 


SfECTJL^     VAG^ITV^E. 


Fig.  194.   Thomas'  Modification  of  Cusco's  Speculum.         FiG.  195.    Emmett's  Self- Retaining  Speculum. 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


56 


e¥W^;c©L©eiCAL  inbteumihtt-s. 


Fig.  198.     Grardener'ssJ    Set    of*   Uterine    InstriAiinents. 


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56 


Part  III. 
GEO.  TIEMANN   &   CO.'S    SURGICAT.    INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


QYliiM,€QhQm£AL,  IHiTEUMElf'fS, 


Fic.  199.      Nott's  Speculum,  with  Chain. 


Pakt  III. 
67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


57 


^» 


THOMAS'  SET  OF  UTERIlSrE  INSTHUMENTS. 

1  Thomas'  Ciisco's  Speculum. 

1  Thomas'  Sims'  Specnhim. 

1  Caustic  Holder. 

1  Pair  (Uterine)  Dressing  Forceps. 

1  Thomas'  Cotton  Expeller. 

1  Small  Uterine  Probe. 

2  Whalebone  Swabs.  .  . 
2  Sponge  Holders. 

1  Long  Pipe  Syringe. 

1  Long-handled  Tenaculum. 

1  Small  Phial,  for  holding  solid  caustic,  none  for  Jlidd  ! 

place  for  a  small  roll  of  cotton  batting  and  small  sponges. 
12  Sponge  Tents. 
1  Uterine  Scarificator. 
1  Mahogany,  rosewood  or  morocco  covered  case,  lined  with 

oil-dyed  velvet,    • $4-6  00 

Fig.  2045.     Emmett's  Tenacula. 


ELLIOTT'S  SET  OP  UTEEINE  INSTHUMEITTS. 


1  Handle  to  fit : 

1  Simpson's  Sound. 
^    1  Guarded  Scarifyer. 

1    1  Sanger's  Porte  Caustic. 
1^  1  .Ointment  Bougie. 

2  Mirror  Specula. 

1  Long  Pipe  Syringe, 
Uterine  Probe. 
Phials  with  Glass  Stoppers. 
Pair  Uterine  Dressing  Forceps. 
Rosewood  or  mahogany  Case,  lined  with  oil-dyed  velvet. 


$25  00 


58 


Part  III. 

GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 


F.  A.  Stohlmann, 


Edward  Pfarre, 


"M^'CBLBmCML  meTEUMlIfT 


i^o 


SPECULA    V^GJ^IIV^E. 
Fig.  205.     Storer's  Speculum,  when  used  as  Cusco's.  Fig.  206.     Hunter's  Speculum. 


Fig  207.  Storer's  Speculum,  when  used  as  Sims 


Fig.  208.     Brewer's  Speculum. 


Fig.   209.      Brewer's  Speculum,  when  used  as  Sims 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK. 

Branch  Store,  107  E.  38tii  St.,  N.  Y. 


SIMS'  SET  OP  INSTRUMENTS  FOR  UTERINE 

SURGERY. 

1  Sims'  Curette. 

2  Sponge  Holders. 

1  Pair  McClintock's  Polypus  Forceps. 

1  Pair  of  Sims'  Polypus  Forceps. 

1  Sims'  Porte-Chain  Ecraseur. 

1  Aveling's  Polyptrite. 

1  Simpson's  Hysterotome. 

1  Pair  of  Curved  Scissors. 

1  Sim's  moveable-blade  Knife. 

1  Priestley's  Dilator,  (or  Ferguson's). 

1  Pair  of  Tenaculum  Forceps. 

1  Uterine  Repositor. 

1  Porte  Tampon. 

1  Forked  Sound. 

1  Vaginal  Dilator. 

1  Mahogany,  rosewood  or  morocco-covered  Case,  lined 

with  oil-dyed  velvet $125  00 


SKEENE'S  SET  OF  UTERINE  IITSTRUMEITTS. 

1  Sims'  Speculum $4  00 

1       "     latest  Needle  Forceps,  Skeene's  modified 5  50 

1  Skeene's  Scarifyer  and  Sound 6  00 

1         "       Elevator 8  00 

1  Long  Pipe  Syringe 1  60 

1  Nott's  Depressor 1  50 

1  Uterine  Dressing  Forceps, 2  00 

1  Straight  Scissors 3  50 

1  Curved         "        4  50 

1  Tenaculum I  25 

1  Uterine  Probe  and  Slide 1  75 

1   Skeene's  Curette 2  00 

1  Sponge  Holder, 1  00 

1  Simpson's  Sound,  graduated 1  75 

In  Russet  Leather  Case,  oil-dyed  velvet 10  00 

$64  25 


JPart  III. 
50  GEO.   TIEMANN    &   CO.'S    SURGICAL    INSTRUMENTS. 

F.  A.   Stohlmann,  Edward  Pfarre. 


Fig.  211.     Dicken's  Speculum.  Fig.  213.     Thomas'  Latest  Speculum. 


'  Pabt  III. 

67   CHATHAM    STREET,    NEW-YORK.  01 
Branch  Store,                                                  107  E.  28tii  St.,  N.  Y. 

NOTT'S  SET  OF  UTERIITE  HTSTRUMEITTS. 

1  Nott's  Speciilnm  and  Tenaculum $8  00 

1  Nott's  Depressor 1   50 

1  Koux'  Needle-Holder 4  60 

1   Applicator  and  Expeller 1  00 

1  Sponge-Holder 1  60 

1  Lead  Sound 0  40 

1   Scarifying  Knife 1   00 

1   Simpson's  Sound 1  60 

1  Uterine  Probe,  pure  silver 1  25 

1  Nott's  Uterine  Dilator 3  50 

1  JSott's  Uterine  Catheter 3  50 

1  Double  Spring  Tenaculum 3  00 

1  Hard  Rubber  Syringe,  for  cleansing  Yagina  and  Uterus 3  00 

1  Lente's  Ointment  Syringe 6  50 

1  Lente's  Platina  Cup ' 3  50 

1  Pair  of  Uterine  Dressing  Forceps 2  00 

1  Pair  of  Keedle  Forceps 4  00 

1   Pair  of  Seizing  Forceps 4  00 

1  Straight  Scalpel - 1  50 

1  Curved  Scalpel 1  50 

1  Pair  of  Emmett's  Scissors 4  50 

1  Sims'  Adjuster 1  50 

1  Sims'  Wire  Pulley 1  25 

1  Sims'  Blunt  Hook 1   25 

1  Sims'  Sigmoid  Catheter,  tin 0  T5 

1  Sims'  Sigmoid  Catheter,  hard  rubber -. 1  00 

1  Sims'  Sigmoid  Catheter,  silver 2  00 

1  Buttles'  Scarifyer 1  T5 

1  Thomas'  Dry  Cupper  and  Suppository 2  00 

1  Smith's  Wire  Ecraseur 6  00 

G  Emmett's  Round-Pointed  Needles,  Silk  for  Sutures  and  for  Polypi,  and 

six  other  Needles f  25 

3  Coils  of  Silver  Wire 1  50 

1  Whalebone  Cotton  Swab 0  50 

2  Glass  Bottles,  for  Caustic,  etc 0  06 

12  Seatangle  and  Carbolized  Sponge  Tents 3  00 

1  Long  Delicate  Tenaculum 1  25 

1  Pair  of  Long  Straigiit  Scissors 3  50 

1  Curette  for  scooping  out  the  Uterus 1  ^^ 

1  Rosewood  Case,  lined  with  oil-dyed  velvet,  neatly  arranged 20  00 

Amount $111  46 

A  descriptive  Pamphlet  of  this  case  of  instruments  may  be  had  on  application. 


Part  III. 
63  GEO.   TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarrk. 


^fmM€mMm€Mi'  ihst'eumihts, 


SPECXJL^S.    v^\.oi]V^e:. 


Part  III. 
67   CHATHAM    STREET,   NEW-YORK.  63 

Branch  Store,  107  E.  28th  St.,  N.  Y. 


PEASLEE'S  SET  OF  UTERIUE  HTSTRUMEITTS. 

1  Sims'  Speculum.  2  Ferguson's  Glass  Specula. 

1  Pair  of  Speculum  Forceps.  1  Peaslee's  Depressor. 

1  Uterine  Tenaculum.  1  Simpson's  Sound. 

1  Peaslee's  Sound.  1  Whalebone  Probe. 

1  Emmet's  Applicator. 

1  Peaslee's  Metrotome. 

1  Pair  of  Curved  Uterine  Scissors. 

1  Uterine  Scarificator. 

1  Tube  for  Intra-Uterine  Applications. 

1  Uterine  Syringe. 

1  Catheter. 

1  Peaslee's  Curved  Needle. 

1  Emmet's  Needle. 

1  Pair  of  Needle  Forceps. 

1  Rosewood,  Mahogany,  or  Morocco-covered  Case,  lined 

with  oil-dyed  Velvet.  $60  00 


Bozeman's  Set  of  Instmments  for  Vesico  Vaginal  Fistula. 

2  Pairs  of  Bozeman's  Scissors,  R.  and  L.,  curved. 

1  Pair  of  Stout  Straight  Scissors. 

1  Pair  of  Scissors,  curved  on  the  flat. 

1  Pair  of  Shot-Smashing  Forceps. 

1  Perforating  Awl. 

1  Pair  of  Self-Closing  Seizing  Forceps. 

1  Pair  of  Curved  Forceps,  lined  witli  copper  on  the  points, 

for  holding  and  drawing  wire  sutures. 

1  Bozeman's  Clamp  or  Button  Adjuster. 

1  Bozeman's  Wire  Adjuster. 

1  Fork  Pulley. 

1  Long  Steel  Probe  in  Ebony  Handle. 

1  Blunt  Hook. 

2  Tenacula. 

2  Straight  Scalpels. 

2  Angular  Scalpels,  P.  and  L. 
1  Urethra  Depressor. 

1  Curved  and  1  straight  Needle-Holder,  both  to  fit  one  handle. 
1  Pair  of  Shot-Perforating  Forceps,  with  1  exti'a  Point. 

1  Pair  of  Plain  Forceps,  finely  cut  at  the  points,  inside. 

3  Metal  Sigmoid  Catheters  (Bozeman's). 
5  Sizes  of  Silver  Buttons. 

2  Swan-Bill  Speculums,  four  sizes. 

3  Coils  of  Silver  Suture  Wire  and  some  Silk. 

1  Common  Probang. 

2  Sponge  Holders. 

12  Assorted  Needles  (Bozeman's). 
1  Rosewood  Case,  lined  with  oil-dyed  velvet.  $100  00 


Part  III. 
64  GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


BJmM,C&h&m€AL  MBTmBMEmTB. 


Fig.   225.     Tiemann  &  Co.'s  Trivalve  Steel  Speculum.  Fig.  226.      Weiss'  Speculum. 


c.ti£:mann  &,co. 


Fig   229.    Baxter's  Speculum.       Fig.  230.    Sims'  Bivalve  Speculum.     Fig.  231.    Howard's  Speculum. 


Part  III. 
67  CHATHAM    STREET,   NEW-YORK. 

Branch  Store  107  East  28th  St.,  N.  Y. 


65 


<. 


Sims'  Set  of  Instmments  for  Vesico-Vaginal  Fistula. 

1   Pair  of  Scissors,  curved  on  the  flat. 

1  Pair  of  Straight  Scissors. 

1  Pair  of  Scissors  for  removing  Sutures. 

1  Sims'  Tenaculara. 

2  Sims'  Scalpels. 
1  Sims'  Speculum. 
1  Sims'  Suture  Adjuster. 
]   Sims'  Wire  Carrier. 
1  Sims'  Blunt  Hook. 
1  Pair  of  Sims'  Dressing  Forceps. 
1  Pair  of  Sims'  Seizing  Forceps. 

1  Pair  of  Sims'  Wire-Twisting  Forceps. 

2  Sims'  Sponge-Holders. 
6  Needles  and  Silk. 
2  Coils  of  Silver  Suture  Wire. 
1  Morocco-covered  Case,  neatly  arranged  and  lined  with 

oil-dyed  velvet. 


$50  00 


Sims'  Set  of  Instruments  for  Vesico- Vaginal  Fistula. 


2  Silver  Sigmoid  Catheters. 
2  Metal  Sigmoid  Catheters. 


Sims'  Speculum,* plated. 

Pair  of  Sims'  Needle  Forceps. 

Pair  of  Straight  Long-Handled  Scissors. 

Pair  of  Curved  Long-Handled  Scissors. 

Pair  of  small,  smooth-pointed  Forceps. 

Pair  of  Twisting  Forceps,  slide-catch. 

Pair  of  Seizing  Foj-ceps. 

Sims'  Scalpels. 


1 

1 

1 

1 

1 

1 

1 

2 

2  Sims'  Tenacula. 

1  Sims'  Blunt  Hook. 

1  Sims'  Suture  Carrier. 

1  Sims'' Wire  Adjuster. 
6  Sims'  Needles. 

1"  Coil  Silver  Wire. 

2  Sponge  Holders. 
Some  Lead  Wire. 

1  Mahogany,  Kosewood  or  Morocco-covered  Case,  lined 
with  oil-dyed  velvet. 


$55  00 


PapxT  hi. 
16  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  332.     Schlotterbeck's  Speculum. 


Pat.,  Feb.  24,  1874. 


Fig.  333.     Ball's  Speculum. 


Part  III. 

67   CHATHAM    STREET,    NEW-YORK.  67 

Branch  Store,  107  E.  28™  St.,  N.  Y. 


FOIi      VESICO  -  VA.OI]V^^L      FI^TXJI^A.. 


Sims'  Set  of  Instruments  for  Vesico- Vaginal  Fistula  and 

Uterine  Operations. 

Sims'  Specului 

Depressor. 

Silver  Caustic  Probe. 

Simpson's  Sound. 

Sponge  Holders, 

Pair  of  Sims'  Twisting  Forceps. 

Pair  of  Sims'  Seizing  Forceps. 

Pair  of  Scissors,  curved  to  the  right  side. 

Pair  of  Scissors,  curved  t&  the  left  side. 

Pair  of  Sims'  Needle  Forceps. 

Pair  of  Straight  Scissors. 

Sims'  Revolving  Knife. 

Sims'  Wire  Adjuster. 

Sims'  Suture  Carrier. 

Sims'  Uterine  Eepositor. 
2  Sims'  Scalpels. 
2  Sims'  Tenacula. 

Sims'  Blunt  Hook. 

Sims'  Silver  Sigmoid  Catheter. 

Metal  Sigmoid  Catheters. 

Coils  Silver  Wire. 

Sims'  Needles. 

Mahogany,  Rosewood  or  Morocco-covered  Case,  lined 

with  oil-dyed  velvet.  $75.00 


Part  III. 
68  GEO    TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 


F.  A.  Stohlmann, 


Edward  Pfarre. 


1 

FOTl     VESICO-V^OIINaL     FISTULA. 

Fig.   243.     Sponge- Holder,  German  Silver. 

Fig.  244.     Sponge-Holder,  Iron,  Ebony  Handle. 


Fio,  245.      Bozeman's  Button  Adjuster. 

■Ol    -^    K'MV1AJ311    '0 


Fig.   246.     Bozeman's  Depressor- 


Fig.  247.     Sims'  Sigmoid  Catheter. 


Part  III. 

67   CHAllIAM    STREET,    NEW-YORK,  69 

Branch  Store,  107  E..28th  St.,  N.  Y. 


BRICKELL'S  SET  OF  OBSTETRICAL  INSTEUMENTS. 

1  Pair  of  Brickell's  Lona;  Foi-ceps. 

1  Pair  of  Brickell's  Short  Forceps. 

1  Pair  of  Straight  Craniotomy  Forceps. 

1  Pair  of  Curved  Craniotomy  Forceps. 

1  Perforator. 

1  Yectis. 

1  Guarded  Blunt  Hook. 

1  Guarded  Crotchet. 

1  Leather  Pouch,  lined  with  oil-dyed  velvet. 

1  the  instruments  nickel-plated.  $48.00 


BEDFORD'S  SET  OF  OBSTETRICAL  INSTRUMENTS. 

1  Pair  of  Bedford's  Forceps.  • 

1  Bedford's  Perforator. 

1  Pair  of  Placenta  Forceps. 

1  Blunt  Hook  and  Crotchet,  combined. 

1  Leather  Pouch,  lined  with  oil-dyed  velvet.  $28.00 


BUDD'S  SET  OF  OBSTETRICAI^  INSTRUMENTS. 

1  Pair  of  Budd's  Forceps. 

1  Blunt  Hook  and  Crotchet. 

1  Perforator. 

1  Pair  of  Placenta  Forceps. 

1  Pair  of  Craniotomy  Forceps. 

1  Pair  of  Simpson's  Short  Forceps. 

1  Patent-Leather  Case,  neatly  arranged  and  lined  with 

oil-dyed  velvet.  $40.00 


THOMAS'  SET  OF  OBSTETRICAL  INSTRUMENTS.      . 

1  Pair  of  Elliott's  Forceps,  rather  heavy. 

1  Pair  of  Davie's  Short  Forceps. 

1  Trephine,  for  Perforating. 

1  Blunt  Hook  and  Crotchet. 

1  Simpson's  Cranioclast. 

1  Cephalotrite. 

1  Gum  Elastic  Cntheter. 

1  8  oz.  Phial  for  Chloroform. 

1  Case,  patent  leather.  $66.00 


Part  III. 

70  GEO.  TIE^IANN   &   CO.'S   SURGICAL   INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


QYB:M€mLO GICAL  IHSTRFMlHTi 


Vesico-T^agrinal  IFistxila  axid  Uterine  Scissors. 

'  Fig.  2G0.     Bozeman's  Angular  Scissors. 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK.  71 

Branch  Store,  107  E.  28Tir  St..  N.  V. 


%€&LiQm€AL,    IH/S^^i^^TrTriiTrw^wrri^ 


r  JL M .m^/%^%M'M^i%yjWMi.vuM.MUi   jli^j m  jlm^^%j) k^Mmi-L^i  jl  o** 


FOIi    VESICO-VAOIJVAL    FISTULA. 

Fig.  267.     Bozeman's  Double  Curve  Scissors. 


o 

Fig.  267S.     Jenk's  Uterine  Probe. 


mss&m^ 


G.l\EW\ftNN8cCQ 


ELLIOTT'S  SET  OF  OBSTETRICAL  IHSTHUMEITTS. 

1  Pair  of  Elliott's  Foreeps. 

1  Ebony-Handled  Blnnt  Hook. 

1  Ebony-Handled  Crotchet. 

1  Blots'  Perforator. 

1  Pair  of  Plain  Placenta  Forceps. 

1  Pair  of  Ramsbotham's  Craniotomy  Forceps. 

1  Roll-up  Pouch,  lined  with  oil-dyed  velvet.  $35.00 


TAYLOR'S  SET  OF  OBSTETRICAL  INSTRUMENTS. 

1  Pair  of  Taylor's  Forceps. 

1  Smelley's  Perforator. 

1  Pair  of  Craniotomy  Forceps. 

1  Pair  of  Placenta  Forceps. 

1  Blunt  Hook  and  Crotchet  combined. 

1  Leather  Pouch,  lined  with  oil-dyed  velvet.  $28.00 


HODGE'S  SET  OF  OBSTETRICAL  INSTRUMENTS. 

1  Pair  of  Hodge's  Forceps. 

1  Blunt  Hook  and  Crotchet,  combined. 

1  Bedford's  Perforator. 

1  Leather  Pouch,  lined  with  oil-dyed  velvet.  $16.00 


.Pakt  III, 

72  GEO.   TIEMANN    ^;   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.   Stohlmann,  Edward  Pfarre. 


Fig.  268. 

Arranging  the  Button  or 

Shot  Suture. 


Fig.  269.     Bozeman's  Button<5  Applied 


Bozeman's,  Emmet's  and  Sims'  Needles    &c. 
See  also  Fig.  354,  Sims'  new  Needle  and  Knife-Holder. 


Part  III, 
67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store.  107  E.  28fH  St.,  N.  Y. 


73 


//      JLiL 


J|LM^» 


Fig.  375.     Thomas'  Hard  Rubber  Probe. 


Fig    280.     Silver  Uterine  Probe. 


Fig.  283.  No.  1  is  a  modification  of  Roux  Needle-Holder.  It  is  an  excellent  Needle-Holder, 
which  may  be  used  in  the  operations  of  vesico-vaginal  fistula,  cleft  palate,  etc.,  and  it  is  m.\de  to  serve 
as  a  handle  to  the  instruments  accompanying  it 

No.  2  combines  the  Applicator  with  the  Sponge  Tent  Expeller. 

No.  3  is  a  Sponge  Holder  and  l.igating  Forceps. 

No.  4,  a  Lead  Sound,  which  easily  follow^s  the  curve  of  the  uterus. 

No.  5,  Intra  Uterine  Scarifying  Knife,  blunt  point. 

No.  6,  Simpson's  Sound. 

No.  7.  Uterine  Probe,  of  pure  silver. 


74 


Part  III. 

GEO.   TTEMANN   &   CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmanx.  Epward  Pfarre. 


BYBiM:  COlv/OeiC AX-  Ilf BTEUMlli'T 


liCS 


XJterine     I>ressinj2:    Insti:Mi.iM.eiits. 

■   Fig.  285.     Bozeman's  Dressing  Forceps. 


"■''^ryt.^^,,.^ 


Fig.  386.     Sims'  Caustic  Forceps. 


Curved  Uterine  Knife 


|gg£iSf^^£ifiiiSa*it*i  V  -iVnVr  i»~ 


a.T/£MflfiJN   &■  CO. 


Fig.  289.     Newman's  Metrorganon. 


^fUBEMI^)  'r^ 


<u 

CO 

f 

lU 

H 

rn 

s 

<■ 

U 

i 

2 

w 

fl 

Sf« 

O 

a 

°l 

(1) 

1 

1 

Fig.  293.     Gardner's  Caustic  Holder. 


Fig.  294.     Sims'  Curette. 

G.TIEMANN  &.C0. 

Fig.  295.     Siemon's  Curette. 


-=^ 


Fig.   296.     Buttle's  Scarifyer  and  Tenaculum. 


Pabt  III. 
67   CHATHAM    STREET,   NEW-YORK.  75 

Branch  Store,  107  East  28Tn  St.,  N.  Y. 


BYmM,€€)hQ>&mAL  WW^mEMMmTB 


V^m 


XJterine     SouikIx     siikI     Ele-vatorjs. 


Pakt  III. 
76  GEO.   TIEMANN    &   CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  ^  Edward  Tfarre. 


Ci¥W=^;COL/OGrICAL  IHSTEFMllfTS. 


XJtei'ine    Soimcis,    Probes    a,iicL    Iie<ii*essors. 

Fig.  308.     Sponge  Tent  Expeller. 

<fcii I I M 1 iiiiir-riiit iiiiiiiiiiiiwiiiiiiffl — ^^^-^^mmM. 


mmmmmmtmmmmimmmam 

G.TJEMANN  &C0 
Fig.   309.      Lente's  Platina  Cup. 


Fig.  310.     Lente's  Double  Bulb  Caustic  Probe. 


00^  \«W\R"a\l.'9 


Fig.  311.     Sliding  Uterine  Sound. 


Fig.   312.     Hunter's  Uterine  Sound. 


cweui^uu  s<.C,a 


Fig.    316.      Sims'   Uterine  Redresser,   No.  2. 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK. 


77 


Branch  Store, 


107  East  28tii  St.,  N.  Y, 


BYmMiC&h^'QMAIi  mmmiuEETS. 


TJ-terinc    Soumcls    ancl    Dilators. 

Fig.  317.     Sims'  Uterine  Dilator. 


Part  III. 

78  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stoiii.mann.  Edw.\kd  Pfarre. 


&imM^  COLONIC  AX.'  m'STRUMlMf - 


ftCJ-i 


Fox*    Dilatation    of*  tlie    Cervix    XJteri. 

Fig.  323.     Climax  Uterine  Dilator. 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK.  79 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


JPox'   Dilatation    of*  the    Cervix    XJteri. 

Fig.  330.     EUinger's  Uterine  Dilator. 


Part  III, 
80  GEO.   TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 

F.  A.  Stohlma.nn.  Edwaku  Pfarre. 


For   Division,   of*  tho    Cei-vix   Uteri   £iu<l   for   Scarifying-. 

Fig.   338.     Chapman's  Uterine  Scarificator  (Pocket). 


Fig.  339.     Buttle's  Scarificator. 


Fig.  340.     White's  Hysterotome. 


Fig.   341.      Stohlmann's  Hysterotome. 


Fig.   342.     Sims'  Rotating  Knife. 


Fig.   843.     Storer's  Uterine  Scarificator. 


GEO.    TlEMAJiX    &.   CO.,   K.   1. 


Part  III. 
67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


81 


^.^.JW/ 


m' 


S^9 


For  Division   of*  the   Cervix-XJteri   and  fV>r   fs^oarLfying-. 

Fig.  349-     Curved  Scissors  for  the  AmpuUition  of  the  Cervix, 


Fig.  350.     Clark's  Tooth-Edged  Scissors. 


Fig.  351.     Thomas'  Punching  Forceps. 


Fig.  352.     Peaslee's  Uterotome. 


Fig.  354.     Sims'  Knife-Holder  and  four  Knives. 


Fig.  355.     Thomas'  Dry  Cupper. 


C  nEMMH-UI. 


Part  III. 

83  GEO.  TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlman,  Edward  Pfarre, 

BjmMiC&hQimeAh  iwiTmuMiifTi 


For*  Iirjection  of*  tlie   Vag-iiia   aiwi  Uterine   Cavity. 


Fig.  361. 
Davidson's  Syringe. 


Fig.  362.     Syphon  Syringe  for  the 
Vagina. 


Part  III. 
67   CHATHAM   STREET.   NEW-YORK.  83 

Branch  Stork,       _,.__._ .,^    107  E.  28th  St.,  N.  Y. 

.     For    iMJeotioii    o±-   the    Vag-iiiti    itna   Uterine    Ca,vity. 


Pakt  III. 
84  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.   Stohlmann,  Edward  Pfarre. 


Fox-    Injecton    o±*   tlie    Vag-ina    and    Uterine    Cavity. 

Fig.  374.     Maw's  Ene.na  Pump. 


Fig.   S75.     Woodward's  Uterine  Syphon  Douche. 


Fig.  377.     Tiemann  &  Co.'s  Universal  Syringe. 


6  b 


bJj 


bis 

'u 
>-. 

m 

b£ 


<5t!:- 


Part  III. 

67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  E    28th  St.,  N.  Y. 


// 


For    I>isplt*.ceiTicnts    oF  tlxe    TJ-teriis. 

Fig.  378.     White's 

UTERINE    REPOSITOR. 


ilC^l 


Fig.  1. 


a. 


c. 
d. 
e. 


/ 


Uterus  in  process  of  reduction. 

Anterior  lip  or  wall  of  the  uterus  M'ifch  the  fingers  of 
the  left  hand  pressing  upon  it  and  assisting  in  pulling 
open  the  uterine  cavity. 
Posterior  uterine  wall  semi-reflected. 
Anterior  vaginal  wall. 

Wooden  or  hard  rubber  stem  of  Repositor,  its  en- 
larged extremity  held  in  contact  with  the  fundus  by 
the  intra- vaginal  hand  of  the  operator. 
Distal  extremity  of  stem  made  into  a  screw,  so  as  to 
fasten  into  ^,  a  coil  of  No.  11  steel  spring  wire,  re- 
quirino;  eight  or  ten  pounds  pressure  by  the  breast  of 
the  operator,  against  which  it  is  placed,  to  bring  it 


down. 


Fig.  2. 


h.  Uterine  extremity  of  stem  6,  which  is  terminated  with 
a  soft  India  rubber  disci  1-inch  diameter,  the  concavity 
into  which  the  fundus  is  received  being  about  one- 
half  inch  deep,  with  its  terminal  margin  thin  and 
soft. 


Past  III. 

GEO.  TIEMANN  &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A    Stohlmann.  Edward  Pfarre. 


BYmM,€BhO)m€AI,  OTiTEUMllfT 


^ie; 


For    31>isj>laceimeiit:s    ol;'   the    XJtenis 

Fig.  379.     Hornby's  Pessary. 


Fig.   380.      Tiemann  &  Co  's    Uterine  Supporter 


Part  III. 

67   CHATHAM    STREET,    NEW-YORK.  B7 

Branch  Stork,  107  E.  28th  St.,  N.  Y. 


For    lI>isj>laceiM.en.i:s    ol*   the    TJt-ems. 


Fig.  385.     Thomas'  Ante-      Fig.  386.     Thomas'  Re 
version  Pessarj'.  troversion  Pessary. 


Fig.  387.  Fig.  388.     Thomas' 

Smith's  Pessary.  Anteversion  Pessary. 


Part  III. 
18  GEO.   TlEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann,  Edward   Pfarre. 


Fig.   393.     Buttles'  Pessary.  Fig.   394.  Nceggerath's  Pessary. 


Fig.  395.     Ring  Pessary.  FiG.  396.     Graily   Hewitt's  Pessary.  Fig.  397.     Sleigh  Pessary. 

0 


•    Part  III. 

67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  East  28th  St..  N.  Y, 


UYmM,€&L,Qm€AL  mS-TUMMESTB, 


For    I>isj>lsicements    of  tlie    Xltenis. 

Fig.  405.  Fig.  406.     Kinloch's  Pessary  for  Fig.  407. 

Kinloch's  Retroflexion  Pessary.  Prolapsus  of  the  Bladder.  Kinloch's  Anteversion  Pessary. 


Fig.  408.     Ball's  Stem  Pessary. 


Fig.  409.     Kinloch's  Retroflexion  Pessary. 


Fig.  410.  Fig.  411.     Thomas'  Intra  Uterine     Fig.  412.     Thomas'  Anteflexion 

Thomas'  Retroflexion  Pessary.  Stem  Pessary  for  Anteflexion.  Pessary  (open)  when  m  situ. 


Fig.  413.  ^ 

Thomas'  Antiversion         5 

Pessary  (open;.  ^ 


Fig.  414.  Thomas' Antever-     Fig.  415.  Thomas' Antefiex- 
sion  Pessary  (closed).  ion  Pessary  (closed). 


Fig.  416. 

Hitchcock's  Anteversion      t 
Pessary.  ^ 


Fig.  419.    Hodge's  Clo.sed 
Lever  Pessarv. 


Part  III.     . 
90  GEO.   TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stoiii.mann 


Edwarh  Pfarre. 


<i    &.A 


Fov    Uissplticenxeiitfti;    «>f*   the    XJteriiS. 


Fig.  420. 


Braun's  Colpeuiyntor 


Fig.  4206.     Trask's  Pessary. 


Fig.  421      Coxeter's  Stem  Pessary. 


Pakt  hi. 

67  CHATHAM    STREET,  NEW  YORK.  91 

Branch  Store,  107  East  28th  St.,  N.  Y. 


Fig.  428. 
Stem  Pessary. 


For   Displaeements   of  the    XJtenxs. 

Fig.  428A.  Fir,.  428f.     Cutter's  Rins^  Pessary. 

Weber's  Pessary. 


Fig.  429.     Graily 
Hewitt's  Pessary. 


Fig.  4296.     Hodge's 
Horse-shoe  Pessary. 


Fig.  4316.     Thomas' 
Anteversion  Pessary. 


Fig.  430.     Peaslee's 
Stem  Pessary. 


Fig.  431.     O'Leary's  Pessary. 


Fig.  4S\c.     Fowler's  Pessary.      FiG.  43M.     Skeene's  Urinal  Cup  Pessary. 


"■"^'^'^-Nf^'s:^ 


Fig.  432.     Sims'  Pessary  Introducer. 


Part  III. 

92  GEO.   TIEMANN    &   CO.'S   SURGICAL    INSTRUMENTS. 

F    A.  Stohlman,  Edward  Pfarre. 


Ql'mM,C&LmBICAL  mSTEUMlllT 


^^O 


For     XJt'ei'ine!     a.xi.d    O-^ariaii     Tumors. 

Fig.  433.     Van  Buren's  Ligator. 

144' 


Paut  tit. 
67  CHATHAM    STREET,  NEW  YORK.  93 

Branch  Store,  107  East  28th  St.,  N.  Y. 


DFor  XJterine  and  Ovai-ian  Tumors. 

Fig.  488i5.     Braxton  Hick's  Ecraseur. 


Fig.  438c.     Smith's  Wire  Ecraseur. 


Fig.  438e.     Tiemann's  Long  Chain  Ecraseur. 


Fig.  438/.     Cintrat's  Ligator. 


Sim's  Port  Chain  Ecraseur,  fig.  47U.     Ligators  for  HEemorrhoidai  Tumors,  page  122,  Part  III 


Part  III. 
94  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


;^}T1¥  «r:fl)Tf 


r/U'llICW.lL^/ 


M1N'TS« 


For  Uterine  and  Ovarian  Tximors, 

Fig.  439.     Gueride's  Clamp. 


Fig.  442.     Nott's 
Rectilinear   Ecraseur. 


Pakt  III. 

67   CHATHAM    STREET,  NEW  YORK.  95 

Branch  Store,  107  East  28th  St.,  N.  Y. 


m:E(M,C&L&mCAL  mSt^BMEET-S. 


For  uterine  a^nd  O-varian  Tuniors. 

Fig.  445.     Spencer  Well's  Pedicle  Clamps. 
Consisting  of  3  clamps,  1  set  of  levers  for  closing  and  1  set  for  removing  them. 


Fig.  445&.     Byford's  Clamps. 
Consisting  of  2  clamps  and  1  pair  of  lever  forceps. 


^i3^.%^^^v^w  b-  e.o.^.-r 


Fig.  446.     Darby's  Clamps. 


Part  III. 

96  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlma.nn.  Edward  Pfarre. 


gumMiCOh&QMML,  IMBTmUMlHTS. 


IFoi*  XJterine  sind  O^^arian  Tvimors. 

Fig.  447.     Atlee's  Clamp. 


Part  III. 

07   CHATHAM    STREET,  NEW  YORK.  97 

Branch  Store,  107  East  28Tir  St.,  N.  V. 


For  TJtei*jLno   an<l   Ovai-iwH   Tuimors. 

Fig.  449.     Spencer  Well's  Sac  Forceps. 


Fig.  450.     Baker  Brown's  Clamp. 


Fig.  451.     Nekton's  Tumor  Forceps. 


Fig.  454.     Byrne's  Double  Tenaculum  Forceps. 


PABT    III. 

98  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann. 


Edward  Pfarre. 


BYmM,€&Li&m€AL,  IF/STEUMIHTS, 


Foi-    XJteriixe    and.    Ovs*riaii    Tixnxors. 

Fig.  457.     Byrne's  VulseUum  Forceps. 


Part  III. 

67   CHATHAM   STREET.    NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


09 


'/     ILl 


Fov    XJterine     u^ncl     O^vo-jcxslto.    Tumors. 

Fig.  4G4      Sims'  Vulsellum  Hook. 


Fig.  465.     McClintock's  Polypus  Forceps. 


Fig.  467.     Sims'  Enucleator. 

01  -^   \»M«\S.-^ 


Fig.   468.     Sims'  Tampon  Screw. 


Fig,  469.     Aveling's  Polyptome. 


Pakt  III. 
100  GEO.  TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS. 


F.  A.  Stohlmann, 


Edward  Pfarre. 


eYM^JCOLOG'ICAI/.  mBTEUMlF/TB, 


Fig.  471.     Cautery  Irons.  Fi^i-  472.     Blowpipe  for  Heating  Irons. 


Fig.  473.     Byrne's  Galvano-Cautery  Battery, 


Paquelin's  Thermo-Cautery,  page  134,  Part  I.         Dawson's  Galvano-Cautery,  page  11$,  Pwt  I. 


Part  III. 

67   CHATHAM    STREET,  NEW  YORK. 
Branch  Store,  107  East  2STn  St.,  N.  Y, 


101 


Fio.  4'77.     Chassaignac's   Drainage  Trocar. 


G.TIEMANN  &.C0. 
Fig.  4776.     Black   Rubber  Drainage  Tubing  (any  size  of  guage). 


Fig.  477^.     Ellis'  Drainage  Spiral. 


Rectum fig.  105. 

Buck's  Eectmn fig.  106. 

Yan  Buren's  Tube fig.  107. 

Duchenne's  Exploring fig.  288. 

fig.  2885. 

Exploring fig.  289. 

Tiemann  &  Co. 's  Exploring .fig.  290. 

Noeggerath's  Exploring fig.  292. 

Hydrocele,  set  of  four fig.  177. 

Wood's  and  Harris' .  ., '.  .  . fig.  179J. 

Abdominal  and  Hydrocele fig.  179c. 

Little's : fig.  1815. 

Exploring,  and  cover fig.  181c. 

Part  I.  Tiemann  &  Co. 's. fig.  428 

Part  I. 
Parti. 
Part  I. 


Dieulafoy's  .....  .fig.  424. 

Hospital fig.  425. 

Steurer's fig.  426. 

Emmett's fig.  427. 


Higgins' fig.  429. 

Codman's fig.  430. 

Fitcli's fiff.  431. 


Part  III. 
Part  III. 
Part  III. 
Part  I. 
Part  I. 
Part  I. 
Part  I. 
Part  I. 
Part  III. 
Part  HI. 
Part  III. 
Part  III. 
Part  III. 

Part  I. 
Part  I. 
Part  I. 
Part  I. 


Fig.  478.     Emmett's  Trocar. 


.  Part  III. 
jQg-  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS 


F.  A.   Stohlmann, 


Edwaed  Pfarre. 


^imM€BhQmCAL  mSTEUMlF/Te, 


Fig.  479.      Fitch's  Dome  Trocar  (1,  2,  3).      Aspirator  Needles  (4,  5).     Clamp  Forceps  (6). 

c 


Part  III. 
67   CHATHAM    STREET,    NEW-YORK,  103 

Branch  Store,  107  E.  38tii  St.,  N.  Y. 


Fig.  485.     White's. 


Fig.  484.     Hodge's 


Fig.  488.     Denman's. 


Fig.  487. 
Buzzle's. 


Paut  III. 
104  GEO.   TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 

F.    A.    STOH1.MANN-  EinV.\KD    ]>FARRE. 


//  iifBim^ 


*-^^?rrJO 


Fic.  489.      Loewenthal's  (1,  2). 


pAliT  III. 

67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store, 


10.-) 


107  East  28tu  St.,  N.  Y. 


BYmM,C0Jh&QmML  IlfSTEUMlHT-S. 


Fig.  493.     Robertson's.       Fig.  494.     Vectis.  Fig.  495.     Davis'.  Fig.  490.     Bedford's. 


Fig.  497      Tarnier's  New  Obstetric  Forceps. 


Part  III. 

l06  GEO.   TIEiMANN   &  CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  ^  Edward  Pfarre. 


Fin.  498.     McLean's.         Fig.  499.     Nstjeli's.  Fig.  500,     Roller's. 


Fig.  501.     Blake's. 


Fig.  502.     Ives' 


Fig.  502b.     Draper's.  Fig.  503,      Hunter's.      Fig.  504.     Thomas' 


PakT  III. 
07  CHATHAM    STREET,    NEVv^-YORK.  lot 

Branch  Store,  107  E.  2Bt][  St.,  N.  Y. 


Cff¥lf^;C©L©'QliC;AL  mSTRCriilNTS. 


Fig.  505.     Tarsitani's.  Fig.  506.  (1,  2.)     Brickel's.  Fig.  507.     Comslock's 


Fig.   509.     Taylor's. 


Fig    510.     Robinson's. 


Part  III. 

108  GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohi.mann.  EnwARD  Pfarre. 


Fig.  510?'.     Hale's.  Fig.  510t'.     Jenk's.  Fig.  510^.     Trueheart's. 


Fig.  510e.     Vedder's. 


Fig.  510/.     Bethel.  Fig.  510^1'.     Rockwell's.     FiG,  510h.     Mathew's- 


Part  III. 
67   CHATHAM   STREET,  NEW  YORK.  109 

Branch  Store,  107  East  28th  St.,  N.  Y. 


mMiC&L&QmALi  mST-EUMlN 


Fig.  510i.     Newman's.  Fig.  510A;.     Sawyer's.       Fig.  510/.     Gillette's.     Fig.  510m.  McFerran's. 


Fig.  510?i.     Ryerson's  Vectis. 


Fig.  510o.     Robinson's  Insufflator. 
For  the  lungs  of  infants  who  are  born  in  a  state  of  semi-asphyxia,  after  prolonged  or  difficult  labor. 


Paut  III. 

110  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlman,  Edward  Pfarre. 


Placenta    and    Emlbi-yotomy    Instmnaeiits. 

Fig.  511.     Dewee's  Hook  and  Carey's  Lever. 


G.TIEMANN  &  CO. 


FiG.  512.     Tiemann  &  Co.'s  Embryotomy  Forceps.        C__,^ 


Fig.  514.     Bachelder's  Embryotomy  Forceps. 


See  also  Figs.  318,  319,  426,  Sponge  Tents,  Barne's  Dilators,  Trocars,  etc. 

Fig.  515-     Pulling's  Funis  Clamp.  {Extract  from  the  Medical  Record.) 

The  possible  occurrence  of  hemorrhiage  from 
the  umbilical  cord,  through  loosening  of  tbe  liga- 
tures, is  frequently  a  source  of  anxiety  to  the  ac- 
coucheur, when  he  leaves  his  patient  after  delivery. 
Accidents  from  this  cause,  if  not  very  frequent,  are 
yet  sufficiently  formidable  to  give  importance  to  ef- 
fective means  by  which  pressure  on  the  cord  may 
be  rendered  constant  under  all  circumstances.  Hav- 
ing this  end  in  view,  I  have  devised  an  elastic  funis  clamp,  made  of  a  single  strip  of  thin 
steel  doubled  on  itself,  and  shaped  as  shown  m  the  cut,  which  represents  it  enclosing  a  sec- 
tion of  the  funis.  Through  the  skill  of  Messrs.  Tiemann  &  Co.,  it  has  been  rendered  safe, 
effective,  simple  and  cheap.  The  opposed  surfaces  being  convex,  the  pressure  is  nearly  as 
great  when  they  are  approximated  as  when  the  separation  is  considerable.  It  is  clasped 
and  unclasped  by  sliding  the  extremities  of  the  arms  at  h  past  each  other.  I  have  used  one 
of  these  little  instruments  in  about  twenty  cases,  and  it  is  still  in  good  order.  I  generally 
remove  it  on  my  second  visit,  when  I  find  the  cord  beneath  it  compressed  to  the  thinness 
of  paper,  and  the  vessels  perfectly  obliterated.  It  is  very  convenient,  besides  giving  such  a 
sense  of  security  that  I  should  be  very  unwilling  to  do  without  it  now.  Two  or  more 
clamps  should  be  carried,  one  being  used  to  apply  temporarily  to  the  placental  end  of  the 
iyxm%.~Ezra  R.  Pulling,  M.  D.,  New  York.     April  22,  1875. 


Paiit  III. 
67   CHATHAM    STREET,   NEW-YORK.  Ill 

Branch  Store,  107  E.  28th  St..  N.  Y. 


BYmM,CQihQ)m€AL  KF/STE.lFlilFf'E-S 


y-^§> 


Fig.  516.     Holme's  Perforator. 


Fig.  517.      Bedford's  Perforator. 


Fig.  519.      Smellie's  Perforator. 


Fig.   520.    tJNTsegelie's  Perforator. 


« 


Takt  III. 
112  GEO.   TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


FOIi      OBSTItXJCTED      Lv^BOIi. 

Fig.   523.     Thomas'  Perforator. 


Fig.  524.      Taylor's  Blunt   Hook 


Fig.  525.     Bedford's  Guarded  Blunt  Hook  and  Crotchet. 


Fig.  526.     Blunt  Hook  and  Crotchet. 


Fig.  527.     Decapitating  Hook 
G.  TICM/^NN  &.C0. 


FjG.   528.      Guarded  Blunt  Hook  and  Crotchet 


e.  TIEMmN  &  CO. 


Part  III. 
67   CHATHAM    STREET.    NEW- YORK.  113 

Branch  Store,  __^__.-^^^  ^^^  ^^    ^'^'^"  ^'''■'  ^   ^- 


Fig.  539.      Meig's  Craniotomy   Forceps. 


Part  III. 
114  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmamn.  Edward  Pfarre. 


FOR    OBSTRUCTED    LABOR,. 

Fig.  533b.     White's  Perforator. 


Fig.  533d.     Trueheart's  Trephine  Perforator. 


Fig.  534.     Braun's  Cephalotrite. 


Fig.  534&.     Simpson's  Cephalotrite. 


Pakt  III. 
67   CHATHAM    STREET,    NEW-YORK.  W. 

Branch  Store,  107  K.  28th  St.,  N.  Y, 


< 


Fig.  535.     Ashton's  Ruptured  Perineum  Needle. 


Fig.  536.     Helical  Needle  for  Ruptured  Perineum. 


Fig.  537.     Agnew's  Forceps,  with  Adju.'^ter. 


O 


f^ 


Peaslee's  Needles  for  Ruptured  Perineum.     Suture  Needles,  full  curve,  half  curve,  or  straight. 
See  page  63,  Part  1  ,  of  this  Catalogue. 


Part  III. 
116  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


® 


For  Lacerations  of*  tlie  Female  Fei'iiieiiiii. 

Fig.  541.     Brickell's- Perineal  Stay.  Fig.  5416      Munson's  Quill  Suture  Stay. 


c.."\\t.\ivu.\\u  a^co 


"^S^ 


G.TIEMAlxlN  &C0. 


Fig.  542.     Peaslee's  Perineum  Needles  (detachable  handle). 


Fig.  5426.     Peaslee's  Perineum  Needle  (right  and  left). 


Fig.  543.     Parker's  Perineum  Needles  (encased  in  handle). 


Fig.  544.     Usual  Perineum  Needle. 


Agnew's  Set  of  Instruments  for  Ruptured  Perineum. 

1  Scalpel    : $1  00 

1  Pair  of  Agnew's  Forceps,  with  Adjuster 2  75 

1  Ashton's  i^eedle 75 

4  Curved  Sutui-e  I^Teedles 50 

1  Agnew's  ISTeedle-holder  and  3  ISTeedles 4  50 

2  Coils  of  Silver  Wire 1  00 

1  Shot  Compressor 2  50 

1  Pair  Curved  Scissors 3  50 

1  Tenaculum  80 

2  Skeins  Silk  Ligature 20 

1  Probe-pointed  Bistomy 1  00 

6  Pieces  of  Cane  or  Bougie  for  Quill-Sutures 25 

1  Skein  of  Twine 10 

1  Piece  of  Wax — 

1  Maliogany  or  Rosewood  Case,  lined  witli  oil-dyed  velvet 5  50 

*  

Amount $24  35 


Part  III. 
67   CHATHAM    STREET,    NEW- YORK, 
Branch  Stork, 


117 


107  E.  28tu  St.,  N.,  Y.. 


Fig.  545.     Bodenhamer's  Reflector  and  Lens.       I'lo.  546.     Ashton's 

(It  can  be  used  for  gas,  oil  or  any  other  Fenestrated  Speculum  Ani 

illuminating  material.)  ' 


Fk;.  547.     Trivalve  Trellis 
Speculum  Ani. 


Ftg.  549.      Gorget  Formed 
Anal  Speculum. 


GLTJtAMfl/A/  &  On. 


Fig.  548.      Bodenhamer's  Recto-Calonic  Endoscope. 


Fig.  550.     English  Rectal  Bougie  (Cylindrical),  12  sizes. 


G.  TIE  MANN  ScCO  . 
Fig.  551,     English  Rectal  Bougie  (Conica.  Point),  12  sizes. 


G.T/EMANN  &C0. 


See  Baxter's  Speculum,  fig.  229-,  Bivalve  Speculum  Ani,  fig.  237,  etc.  ;  Dome  Top  Speculum,  fig.  223  ;  Ferguson's  Specu- 
lum, fig.  218 ;  Sims'  Speculum,  fig.  242 ;  Tiemann  &  Co.'s  Speculum,  fig.  225. 


Part  III. 
lis  GEO.   TIEMANN    &   CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarrk. 

AEAh  &  EICTAL  IHS'f'EUlilWT'S, 


Fig.  553.     Bodenhameis'  Rectal  Explori 
Sounds  or  Bougies  (10  sizes). 


Fig.  553.      .Syphon  Syringe. 


Fig.  554,     Small  Bivalve  Anal 
.Speculum,  for  Children. 


G.TIEMANN  &.C0. 
Cautery  Lamp  and  Galvano-Cautery  Batteries,  figs.  472  and  473. 


Part  III. 
67   CHATHAM    STREET,    NEW  YORK. 
Branch  Stork,  107  E.  28Tir  St.,  N.  Y, 


119 


ABAh  &  EICTAJL/  mBTWJSMMMTS 


^« 


Pakt  ITI. 
120  GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 

F.  A.  Stohlmann. ^  Edward  Tfarre. 

AHAL,  &  miCf AX;  IF/BTmiUMlIfT! 


Fig  573.     Rectal  Curette  (for  scooping  out  the  Rectum  in  Atony  or  Paralysis  of  that  organ,  and 
also  for  removing  Ascarides  of  the  Rectum.) 


Fig.  575.  Recto-Cololic  Enema  Apparatus,  consisting  of  a  Force-Pump  with 
a  Colonic  Tube  attached,  for  injecting  or  forcing  fluids  both  into  the 
Rectum  and  Colon. 


Fig.  576. 


Hutchinson's  Improved  Breech-Loading  Syringe,  for  administering 
semi-solid  substances  into  the  rectum,  etc. 


See  also  Tiemann  &  Co.'s  Universal  Syringe,  fig.  377  ;  Davidson's  Syringe,  fig.  361  ;  Syphon 
Syringe,  fig.  302 ;  Woodward's  Syphon  Douche,  fig.  375. 


Paut  IIT. 
67  CHATHAM    STREET.   NEW-YORK. 
Branch  Store,  107  E.  28th  St.,  N.  Y. 


121 


AMALi  & 


^# 


Fig.  580.      Rectal   Brush-Holder  (^stem  of  flexible  wire). 


Fig.  531.     Verlebrated  Recto-Coloiiic  Lxplorini^  Sound. 


CTIfiWlAMN-CO. 

Fig.  583.     Small  Blunt-Pointed  Curved  Bistoury  (for  incising  preternatural 
pouches  or  Sacculi  of  the  Rectum. 


Fig.  584.     Bistoury  Cache,  for  Rectal  Strictures. 


Fig.  585.     Bodenhamer's  Blandin's  Knife. 

For  making  the  sub-mucous  and  sub-cutaneous  section 

of  the  sphinatores  ani  muscles,  in  anal  fissure. 


Part  III. 
122  GEO.   TIEMANN   &   CO.'S    SURGICAL    INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


AH/AL  &  EICTAX,  IHiTEF/MllfT 


i\0 


-Fig.  591.     Bodenhamer's  Bistoury  Cache,  for  Fistula  en  Ano. 


Fig.  593.     Gooche's  Canula  for  ligating  Haemorrhoidal  Tumors. 


Fig.  593. 

Camel's  Hair  and  Cilass 

Brushes. 


Fig.  594.     Carroll's  Knot  Tier.  Fig.  595.     Flexible  Silver  Director  (grooved  and  probe-pointed. 


Fig.  596.     Bodenhamer's  Curvilinear  Forceps,  for  facilitating 
the  ligation  of  Haemorrhoidal  Tumors. 


Fig.  598.     Lent's  Platina  Cup  for  fusing  Nitrate  of  Silver. 


Fig.  599.     Pin  for  transfixing  Haemorrhoidal  Tumors. 


See  also  page  92 — Ecraseurs. 


Pakt  III. 
67   CHATHAM    STREET,    NEW-YORK. 
Branch  Stork,  107  E.  28tu  St.,  N.  Y. 


123 


AWAIv/  &  ElC;f  AX,  IMBITEU'MIHTS., 


Fkj.  600.     Lent's  Ligature  Carrier. 


Fig,  601.     Bodenhamer'.s  Spring  Forceps,  for  seizing  and  ligating  bleeding  vessels, 
as  well  as  Polypoid  Tumors  of  the  Rectum,  when  high  up. 


Fig.  603.     Hutchinson's  Needle,  for  the  Subscutaneous  Ligation  of  External 
Hsemorrhoidal  Tumors. 


e,  TIE  MANN  &  CO 
Fig.  604.     Skeene's  Needle  for  Ruptured  Perineum. 


,7lliNIANN&C0. 


l£/Vi.ARG£D    VlliW. 

Fig.  606.     Rectal  Porte  Mesche  at  Tampon. 


Fig.  607.     Straight  and  Fig.  008.      Small  Trocar  and  Acupuncture,  or  Exploring  Needle,  for  testing 

Curved  Suture  Needles.  the  character  of  ambiguous  swellings  or  fluid  collections  of  the  rectum. 


•lEV/iMM&CCI."!'" 


Fig.  609.     Angular  Pile  Needle 


Part  III. 
124  GEO.   TIEMANN    &    CO.'b    SURGICAL    INSTRUMENTS. 

F.  A.  Stohlman,  Edward  Pfarre. 


Fig.  611.     Ruptured  Perineum  Needle. 


Fig,  612.     Prolapsus  Ani  and  Pile  Supporter. 


Fig.  GI4.     Gibson's  Instrument  for  the  Introduction  of  the 
Ligature  in  Anal  Fistula;. 


Fig.  615.     Trousseau's  Pile  Supporter, 
and  for  treating  Spermaton'^""" 


Fig.  617.      Pile  Bougie  and 
Prolapsus  Ani  Supporter. 


Part  III. 
67  CHATHAM   STREET,  NEW  YORK.  135 

Branch  Store,  107  East  28th  St.,  N.  Y. 


AWAL  &  EICTAL,  IK'SIF-EeMlKT-S 


^9 


Fig.  619^.     Dcpuytrcn's  Enterolome. 


For  facilitating  the  introduction  of  the  Elastic  Ligature.  A  double  Jigature  can  be  readily  drawn  though  a  fistula  or 
under  a  tumor.  It  is  not  necessary,  in  fistula,  to  see  the  hook,  for  if  the  finger  with  a  loop  of  India  rubber  around  it  De  passed 
up  the  rectum,  the  loop  can,  with  great  facility,  be  directed  over  the  end  of  the  probe  and  caught  in  the  notch  quite  unassisted 
by  vision.  C  shows  the  sharp-pointed  instrument  adapted  to  the  .same  canula,  so  that  onl^-  one  handle  and  one  canula  are 
required  to  complete  the  double  instrument.  Many  other  simple  surgical  operations  maj'  be  advantageously  performed  by 
means  of  the  Elastic  Ligature. 


DITTEL'S  ELASTIC   LIGATURE,  (1  yard  Icng,  25  cents). 

Exerts  a  constant  and  almost  painless  constriction  upon  the  parts  ligated  with  it. 


126 


Part  III. 
GEO.  TIEMAXN    &    CO.'S   SURGICAL    INSTRUMENTS, 


F.    A.    STOHLM.A.NN. 


Edward  Pfarre. 


HIMMA  IIfSTR,lIMlliTS. 


:  &;  S,  '!Tc"^,':ii^iKS";7«XTi.  ''""■'"°°"'  ■  """''>■''  "'''"•"•  "=■ '"  • ''""'' «' 


Part  IV 


Tape  Measure. 


Please  do  KOT  MUTILATE  this  Booh. 

In  ordering,  Dierely  state  the  Fart  of  the  Armamen- 
tarium, the  JVumher  of  the  Figure,  and  the  Mame  of  tlie 
article  desired. 

Instruments  not  irientioned  in  our  Frice  List  will  he 
furnished  at  the  lowest  market  rates. 

When  GOODS  FOR  REFAIR  are  directed  to  us,  the 
Owner's  Mame  and  Address  should  accompany  them. 
This  will  enable  us  to  return  them  to  the  proper  place 
and  person. 

Farties  finding  it  convenient  to  order  through  dealers 
are  requested  to  insist  upon  receiving  our  manufacture, 
as  otherwise  inferior  goods  are  frequently  substituted. 

All  instruments  of  our  malce  have  our  name  stamped 
upon  them. 


Paet  IV. 


GEORGE  TIEMN  &  CO.'S  SURGICAL  INSTRUMENTS, 

Branch  Store,  107  East  28th  Street,  J^ew-York. 


ORTHOPAEDIC  APPARATUS. 


Appratis  for  tie  Treatmeit  of  Dlstortiois  aift  UeMlities  of  tk  Tmi. 


Shoulder  Braces. 

For  unconfirmed  curvatures,  or  "  round  shoulders,"  in  children  and  youths. 
This  condition,  brought  on  by  a  habit  of  stooping,  or  by  a  constant  bending 
forward  of  the  head  and  neck  over  the  book  or  desk,  is  amendable  by  mechanical 
treatment.       The  most  approved  instruments  for  these  cases  are  represented  by 
Figs.  1,  2  and  3. 

Figs.  1,  2.    Elastic  Shoulder  Braces. 

For  ladies  and  gentlemen,  arranged  as  Suspenders  or  Skirt  Supporters. 


Fig. 


1.  Elastic  Shoulder  Brace,  for  Gentlemen  and  Ladies, 

2.  Elastic  Shoulder  Brace,  for  Gentlemen, 


Price. 

52  00  to  $3  50 
2  00  to     3  50 


Part  IV. 
2  GEO.    TIEMANN   &    CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  -  Edward  Pfarre. 

Fig.  3.    Steel  Back  Shoulder  Brace. 

For  more  advanced  cases  of  round  shoulders.     Price,  $4  to  $5. 

Directions  to  Measure  for  Shoulder  Braces; 

1.  Patient's  name  (sex). 

2.  Elastic  or  Steel- Back  Brace. 

3.  Crest  of  ilium  to  axilla,  .  .  inches. 

4.  Circumference  of  pelvis,     .  a  .         " 

5.  Circumference  of  chest 
under  axilla,  .  ,  .         " 


Apparatus  for  Spinal  Distortions. 


Extracted  from  the  '■^Medical  Journal,''^  New  Yorlc.  Aug.  1,  1868. 

Fig.  4. 
Tiemann  L  Co.'s  New  Brace  for  Pott's  Curvature  of  the  Spine. 

Price,  $35.00. 

"  It  is  intended  to  afford  an  entirely  elastic  continuous 
and  gentle  pressure  to  the  parts  to  Avhich  it  is  applied, 
giving  to  the  patient,  along  with  adequate  support,  an 
easy  and  comfortable  feeling.  It  is  made  of  light  temper- 
ed springs,  and  softly  padded  wherever  it  comes  in  con- 
tact with  the  body. 

"  The  belt  below  passes  round  the  pelvis,  and  the 
principal  weight  is  thrown  upon  the  gluteal  region. 
The  front  portion  is  broad,  so  as  to  compress  the  pro- 
truding abdomen.  Two  upright  parallel  bars  pass  on 
each  side  of  the  posterior  elevation,  having  a  portion  of 
silk  elastic  rubber  between  them,  which  gives  a  constant 
pressure  upon  the  protuberance.  If  the  latter  "is  in- 
jiamed,  a  portion  cut  out  of  the  elastic  material  prevents  o^imAHn-w. 

direct  pressure  upon   the   extremity    of  the   bone.       Upon  these  side  bars  are 
attached  two  elliptic  and  padded  springs,  yielding  to  every  pressure,  and  adaptinp; 


Part  IV. 
67   CHATHAM    STREET,    NEW- YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


Fig.  5. 


SiXi^BSini'-eo. 


themselves  to  the  sides  of  the  spinal  column  and  keeping  the  body  in  an  erect 

position.    These  are  removed  or  applied  by  a  very  simple  process.    The  two  padded 

crutches  are  elastic,  and  elevate  the  body  by  pressing 

mostly  under  the  margin  of  the  scapula,  thns  obviating 

any  tendency  to  pressure  upon  the  axillary  veins.     They 

are  constructed  in  such  a  manner  that  the  equilibrium 

of  the   body  can  be  restored  in  case  one  shoulder  is 

depressed." 

Fig.  5.  "  The  elastic  belt  shown  in  the  cut  is  for 
the  purpose  of  giving  additional  pressure,  if  needed,  but 
mainly  to  compress  the  sternum,  which  generally  pro- 
trudes. It  is  also  designed  to  be  worn  at  night,  when 
the  apparatus  itself  is  not  applied." 

We  pay  special  attention  to  the  correct  and  care- 
ful fitting  of  these  Braces. 

Surgeons  residing  at  a  distance,  whose  patients  cannot  visit  us  for  adjustment, 
will  have  their  orders  j)romptly  attended  to,  by  sending  us  the  following  particulars : 

Measurement  for  Tiemann  c&   CoJs  Brace  for  Posterior   Curvature. 

{Pott'^s  Disease.) 

Patient's  name  (or  sex). 
"  age. 

''  weight  (estimated). 

"  ^  J  INCHES. 

Distance  from  sacro  lumbar  articulation  to 
vertebra  prominens, 
6.  Distance  from  sacro  lumbar  articulation  to 

first  vertebra  involved, 
6.  Distance  from  sacro  lumbar  articulation  to 

last  vertebra  involved, 
T.  Distance  from  crest  of  ilium  to  axilla,  right 
side,  .  .  . 

Do.  left  side, 

8.  Distance  from  the  centre  of  one  scapula  to 
the  centre  of  the  other, 

9.  Horizontal  (transverse)  diameter  of  the  pro- 
tuberance. 

10.  Circumference  of  chest  under  axilla,  .... 

11.  Circumference  of  pelvis  one  inch  below  the  iliac  crests. 


Fig.  6. 


(C  to  D) 

(C  to  G) 

(C  to  D) 

(A  to  H) 

(E  to  F) 
(H) 


Pig.  7.    Tiemann  ^  Co.'s  Brace  for  Lateral  Curvature. 

(scoliosis.)  Price,  $35.00. 

To  the  pelvic  belt  are  attached  laterally  two  elastic  crutches,  as  in  the  brace  for 

Pott's  disease ;  to  relieve  the  spine  of  the  weight  of  the  trunk  posteriorly,  a  single, 

gtrong,  upright  bar,  holdmg  a  couple  of  adjustible  pads  for  the  scapulae,  and  just 


Paet  IV. 

GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


below,  a  leather  band,  of  proper  width  (attached  bj  a  number  of  small  brass  but- 
tons), terminating  in  strong  elastic  India-rubber  webbings.     This  band  is  passed 

around  the  protuberance  obliquely,  and  buckled  to  the 
YiG.I.  pelvic  belt  in  front,  an  inch  or  two  beyond  the  linea 

•  alba,  and  will  bo  found  to  exercise  a  gentle,  but  con- 
tinuous elastic  pressure,  at  the  same  time  rotating  the 
ribs  around  their  vertebral  axes,  and  thus  mifolding  the 
helical  curve. 

Measurement  for  Tiemann  &  Co.'^s  Brace  for  Lateral 

Curvature  {Scoliosis.) 

Surgeons  residing  at  a  distance,  whose  patients  can- 
not visit  us  for  adjustment,  will  have  their  orders 
promptly  attended  to,  by  sending  us  the  following  par- 
ticulars : 

Is  the  convexity  of  the  curve  to  the  right  or  left 
side  ?  {In  the  figure  of  the  accompanying  skeleton  it 
■■ ,   -  is  to  the  right.) 

1.  Patient's  name  (or  sex). 

2.  "  age. 
p^^  g                         ^'       .  "          weight  (estimated).  ^  ^^^^^3_ 

4.  Distance  from  sacro  lumbar  articulation  to 
vertebra  prominens, 
""^fex  /  5.  Distance  from  sacro  lumbar  articulation  to 

first  vertebra  involved, 
6.  Distance  from  sacro  lumbar  articulation  to 
last  vertebra  involved, 

IJj,,,J^^^^.|L //.     7.  Distance  from  crest  of  ilium  to  axilla,  right 

— J|V^:/II         ■  side,  .... 

rf^\^.  U '■  ^^-                                   leftside, 

;S'.->AAkJd, G.  3,  Distance  from  the  centre  of  one  scapula 

Li  to  the  centre  of  the  other, 

"£^            11/  9.  Horizontal  (transverse)   diameter  of   the 

-A.  protuberance. 

o#  YW'  -^Q^  Circumference  of  chest  under  axilla, 

i'if  11.  Circumference  of  pelvis  one  inch  below 
the  iliac  crests. 


(C  to  D) 
(C  to  G) 
(C  to  D) 
(A  to  H) 

a 

(E  to  F) 
(H) 


Pig.  9.  Spine  Brace  Ij  Dr.  Chas.  Washtmrn. 


Price,  $15  to 

"  Some  two  years  ago  it  became  necessary  for  me  to  have  constructed  a  brace 
for  the  treatment  of  angular  curvature  of  the  spine,  a  considerable  number  of  such 
cases  having  been  quite  suddenly  thrown  upon  my  hands  by  the  resignation  of  a 


Pakt  IV.    . 

67   CHATHAM    STREET,    NEW-YORK 
Branch  Store,  107  East  28th  St.,  N.  Y. 


consulting  orthopedist  to  St.  Luke's  Hospital,  New  York.  It  was  inj  desire  to 
obtain  an  apparatus,  which,  while  fulfilling  the  indications  perfectly,  should  be 
simple  in  construction  and  not  expensive." 

"In  the  accompanying  figure  aa  is  a  steel  band  which  passes  half  way  around 
the  pelvis,  just  above  the  trochanters,  hb  are  two  flat  bars  of  steel,  parallel  to  each 
other,  and  curved  upon  their  flattened  sides  to  the  form 
of  the  spine  to  which  the  apparatus  is  fitted.  These 
bars  are  curved  a  little  less  than  the  spine,  so  that  when 
secured  in  position,  their  elasticity  will  constantly  oper- 
ate to  rectify  the  spinal  curve.  The  cross  bar  at  the 
upper  ends  of  the  parellel  ones  is  firmly  riveted  to  them, 
and  is  to  cross  the  back  just  above  the  spines  of  the 
scapulse.  At  the  ends  of  this  bar  are  affixed  buckles  to 
receive  the  shoulder  straps ;  gg  are  two  movable  pads 
which  slide  upon  the  bars  to  which  they  are  attached — 
these  are  best  stuffed  with  chopped  cork.  These  com- 
presses are  to  be  brooght  one  upon  each  side  of  the  pro- 
jecting knuckle  of  spine  and  secured  firmly  by  means 
of  the  screws  provided  for  that  purpose.  Buckles  are 
attached  to  various  parts  of  the  brace,  by  means  of  which 
it  is  secured  to  the  front  part  of  the  apparatus,  which 
consists,  as  shown,  of  a  piece  of  twilled  muslin,  or  other 
strong  material,  which  covers  the  chest  and  abdomen 
and  is  provided  with  straps.  Such  parts  as  are  in  con- 
tact with  the  body  are  carefully  padded." 

"  Success  with  this  apparatus  depends  entirely  upon 
the  faithfulness  with  which  it  is  kept  adjusted  to  the  spine  of  the  patient.  It  is 
only  necessary  that  a  gentle  pressure  should  be  maintained  if  it  is  constant.  As 
the  spine  approaches  its  normal  shape  the  curve  of  the  brace  will  require  to  be 
altered  from  time  to  time.  The  steel  has  a  soft  temper,  so  that  it  will  take  the 
form  into  which  it  is  bent  when  considerable  power  is  applied,  but  will  be  suffi- 
ciently elastic  for  the  purposes  of  this  apparatus.  With  children's  braces  the 
necessary  bending  is  readily  accomplished  by  hand." 


Surgeons  residing  at  a  distance,  whose  patients  cannot  visit  us  for  adjustment, 
will  have  their  orders  promptly  attended  to,  by  sending  us  the  following  par- 
ticulars : 

Measurement  for    Washburn'' s  Braee  for  Posterior  Curvature  of  the  Sjpine. 

( Potfs  Disease) 

1.  Patient's  name  (or  sex.) 

2.  "        age. 

3.  "        weight  (estimated). 

4.  Distance  from  sacro  lumbar  articulation  to  vertebra  prorainens  (C  to  D),  inches. 

5.  Distance  from  sacro  lumbar  articulation  to  first  vertebra  involved  (C  to  G),  " 


Pakt  IV. 
GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  10. 


— -//. 


6.  Distance  from  sacro  lumbar  articulation        inches. 

to  last  vertebra  involved,  .  (C  to  D) 

7.  Distance  from  crest  of   ilium    to  axilla, 

right  side,  ...  (A  to  H) 

Distance  from  crest   of  ilium    to  axilla, 
left  side,  .  ■  ■ 

8.  Distance  from  the  centre  of  one  scapula 

to  tne  centre  of  the  other,  .  (E  to  F) 

9.  Horizontal  (transverse)  diameter  of    the 

protuberance. 

10.  Circumference  of  chest  under  axilla,  (H) 

11.  Circumference  of  pelvis  one  inch  below 

the  iliac  crests. 


Pig.  11.    Dr.  Thomas  M.  Markoe's  Brace  for  Torticollis. 

Price,  $35.00  to  $45.00,  according  to  size  and  finish. 

This  apparatus  is  constructed  in  the  following  manner :  An  upright  steel  bar 
is  fastened  to  a  pelvic  band,  and  carried  along  the  spine  to  a  little  below  the  level 
of  the  shoulders,  secured  in  position  by  straps  passing  over  the  shoulders  under  the 
axillae,  and  fastened  to  buttons  or  pads  situated  over  the  scapulae. 

A  steel  lever  for  extension  of  the  neck,  is  provided  inferiorly  with  a  slot,  to 
admit  of  adjustment,  and  connected  with  the  upright  bar 

by  means  of  two  screws ;  the  top  of  this  lever  is  made  Fig.  h. 

to  form  a  powerful  clamp,  for  the  purpose  of  holding 
the  head-band,  and  of  securing  the  head  in  position. 
The  head-band  is  formed  of  a  steel  spring  carried  half 
around  the  back  of  the  head,  softly  padded,  and  the  cov- 
ering extended  to  the  front  and  buckled  there.  A  strap 
may  also  be  passed  across  the  top  of  the  head  from  ear 
to  ear. 

A  bandage,  the  size  and  shape  of  the  patient's  chin, 
is  buttoned  to  this  head-band  laterally  with  four  straps. 
Fastened  to  the  steel  spring  of  the  head-band  is  a  steel 
stem  about  one  inch  or  less  in  length,  terminating  in  a 
ball;  this  is  held  within  the  grasp  of  the  clamp,  thus 
forming  a  universal  joint,  moving  freely  in  all  direc- 
tions. By  turning  a  thumb-screw  with  which  the 
clamp  is  provided,  the  head  of  the  patient  may  be  fixed 
in  any  position  by  the  arrest  in  the  movement  of  the 
joint. 


Part  IV. 
67  CHATHAM  STREET,   NEW-YORK, 


Branch  Store, 


107  East  28th  St.,  N.  Y. 


Measurerfient for'  Marhoe's  Jirace  for  Torticollis. 


Fig.  12. 


1.  Patient's  name  (or  sex). 

2.  "         age. 

3.  "         weight. 

4.  Distance  from  saero  Inrabar  articulation 

to  vertebra  prominens, 

5.  Distance  from  sacro  lumbar  articulati(jn 

to  base  of  skull, 

6.  Circumference  of  pelvis  one  inch  below 

iliac  crest,     .... 

7.  Circumference  of  chest  under  axilla, 

8.  Circumference  of  the  head, 


inches. 


Fig.  13.    Tiemann  &  Co.'s  Wry-Heck  Brace. 

•    Price,    $5.00. 

This  is  a  simple  collar,  made  of  pliable  iron 
wire  and  covered  with  silk  or  buckskin.  It  is 
placed  on  one  shoulder  and  held  in  position 
by  axillary  straps.  The  iron  admits  of  adjust- 
ment. It  is  a  good  instrument  for  slight  cases 
of  wry-neck  when  the  head  leans  to  one  side, 
by  reason  of  contract-ions,  lesions  of  muscles, 
or  burns,  but  when  accompanied  by  tortuosity 
of  the  vertebra,  it  is  not  as  efficient  as  Markoe's 
brace.  This  has  been  improved  upon  by  Dr 
J.  E.  Wood.     See  Fig.  48,  Supplement. 

Measurement  for  Tiemann  S  Cd^s.   Wry -Neck  Brace 

1.  Patient's  name  (or  sex). 

2.  "        age. 

3.  Head  leans  to  rigJit  or  left  side  ? 

4.  Circumference  of  the  neck, 

5.  Length  of  the  neck  at  side  from  clavicle  to  mastoid  process, 

6.  (Circumference  of  chest  under  axilla. 


inches. 


Part  IV. 
GEO.   TIEMANN   &    CO.'S    SURGICAL    INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfap.re 


Fig.  14.    Davis's  Apparatus  for  Caries  of  the  Spine, 

Price,  $20. 

{Extracted  from  Hamilton'' s  Principles  and  Practice  of  Surgery.) 

''  The  principles  which  ought  to  govern  the  construction  and  application  of 
mechanical  supports,  in  cases  of  caries  of  the  spine,  are  the  greatest  degree  of 
lightness,  compatible  with  the  requisite  firmness,  accurate  adaptation ;  pressure  in 
opposing  directions  upon  the  spinal  column,  sufficient  to  insure  support  and  stead- 
iness, and  to  transfer,  in  some  degree,  the  weight  of  the  spinal  column  from  the 
affected  vertebrae  to  their  corresponding  oblique  processes,  while  at  the  same  time 
these  vertebrae  shall  not  separate  from  each  other  in  a  manner  to  defeat  the  end 
desired,  namely,  their  final  union  and  consolidation  by  callus  ;  the  pressure  being 
so  applied  on  either  side  of  the  spinous  processes,  and  not  upon  the  processes 
themselves,  so  that  it  shall  cause  the  least  pain  and  not  endanger  ulceration  or 
excoriation,  giving  support  to  the  tumid  or  pendulous  belly;  interfering  in  no  way 
with  the  free  motions  of  the  arms  or  legs.  These  indications  we  find  more  or  less 
completely  fulfilled  in  the  apparatus  of  Davis,  Bigg,  or  Taylor." 

Fig.  14.  Fig.  15.  Fig.  16. 


Fig.  16.    Taylor's  Apparatus  for  Caries  of  the  Spine. 

Price,  $24.00  to  $30.00. 

Measurement  for  Davis's  or  for   Taylor'' s  Apparatus  for   Caries  of  the  Spiiie 

{Pott''s  Disease). 

1.  Patient's  name  (or  sex) 

2.  "         age. 

3.  "         weight  (estimated). 

4.  Distance  from  sacro  lumbar  articulation  to  vertebra  proniinens  (C  to  D),  inches. 

5.  Distance  from  sacro  lumbar  articulation  to  first  vertebra  involved  (C  to  G), 


67  CHATHAM  STREET,   NEW-YORK,  9 

Branch  Store,  107  East  38th  St.,  N.  Y. 

6.  Distance  from  sacro  lumbar  articulation  to  last  vertebra  involved  (C  to  D),  inches. 

7.  Distance  from  crest  of  ilium  to  axilla,  right  side,  (A  to  II),  .  " 

Do.  do.  leftside,  "         .  .  " 

8.  Distance  from  the  cenrre  of  one  scapula  to  the  centre  of  the 

other  (E  to  F),  .  .  .  .  .  .  " 

9.  Horizontal  (transverse)  diameter  of  the  protuberance,  .  .  " 

10.  Circumference  of  chest  under  axilla  (II).     .  .  .  .  " 

11.  Circumference    of  Pelvis  one  inch   below  the  iliac  crests,      .  .  " 


Abdominal  Supporters  and  Trusses. 


Fig.  17.    UmlDilical  Bandages. 

Price,  $6.00  to  $8.00. 

These  Bandages  are  made  of  linen,  satin-jean,  or 
canvas,  with  hard  pads  of  wood,  cork,  lead,  etc.,  and 
with  soft  pads  made  of  sponge,  horse-hair,  or  of  India 
rubber,  inflated  with  air. 


Fig.  18.    Chase's  Umtiilical  Truss. 

Price,  $4.00. 
Has  a  hard  wooden  pad, 
and  is  a  comfortable  ap- 
pliance for  corpulent  per- 
sons, having  the  advantage 
of  being  light  and  cool, 
making  it  comfortable  for 
summer  wear. 


Fig.  19.    Bow  Spring  UmlDilical  Truss. 


Price,  $5.00. 

The  spring  of  this  truss 
is  made  in  form  of  a  bow, 
the  convex  side  of  which, 
supporting  the  pad,  is  ap- 
plied t©  the  rupture.  It  is 
forced  to  conform  to  the 
shape  of  the  body  by  draw- 


Part  IV. 
10  GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


irjg  on  the  straps  on  either  side,  which  are  then   buckled  just  tight  enough  to  be 
comfortable.     Thej  are  made  with  soft  or  hard  pads. 


Fig.  20,    Children's  Bow  Spring  Umbilical  Truss, 


Price,  $2.50  to  $3.00. 


Fig.  21.    Children's  Umhilical  Truss. 


Price,  $2.50  to  $3.00. 


G.  TIEMANN  ««.    CO. 


Crescent  Spring,  and  with  Soft  or  Hard  Pads. 


CHILDREN'S   UMBILICAL   BANDAGES,   $2.00  to  $3.00. 


Fig.  22.    Bow  Truss,  Single,  Wooden  Pad. 


Price,  $3.50. 


J^p^  The  order  for  an  Umbilical  Bandage  or  Truss  should  be  accompanied  by 

the  following 

Measurement : 

1.  Diameter  of  the  protuberance. 

2.  Circumference  of  the  body  at  the  Umbilicus. 


Pakt  ly. 

67   CHATHAM    STREET,    NEW    YORK.  f^ 

Branch  Store,  107  East  28th  St.,  N.  Y. 

Pig.  23.    Ratchet  Truss,  Hard  or  Soft  Pad, 

Price,  $4.60. 


Pig.  24.    Best  Prencli  Truss,  Single,  Soft  Pad. 

Price,  $4-.00  to  $5.00. 


Pig.  25.    Best  Prencli  Truss,  Double,  Soft  Pad. 

Price,  16.00. 


jjj^^  For  a  Trnss,  measure  around  the  pelvis  and  describe  the  rupture. 
Trusses  carefully  litted.       A  lady  will  wait  on   lady  customers  at  the  Branch 
Store,  107  East  28th  Street. 


l^ART   IV. 

13  GEO.    TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  26.    Chase's  Truss,  Cedar  Pad. 


Price,  $4.()0. 


Fig.  27.  French  Adjustahle  Truss,  Soft  Pad. 

Price,  l-i.50. 


Fig.  28.    German  Truss,  Soft  Pad. 

Price :  Sino:le  Truss,  $3.00 ;  Double  Truss,  $4.50. 


C.  TiEMANN  Si.  C 


1^^  For  a  Truss,  measure  around  the  pelvis,  and  describe  the  rupture. 
Trusses  carefully  fitted.     A  lady  will  wait  on  lady  customers  at  the  Branch 
Store,  107  East  28th  Street 


Paet  IV. 

67   CHATHAM    STREET,    NEW-YORK.  jg 

Branch  Store,  107  East  28ti£  S'i.,  N.  Y. 


Fig.  29.    Best  Common  DouTdIg  Truss,  Soft  Pads. 


Price,  $4.00  to  $5.00. 


'.22JI  NNVW3I1   -O 


Pig'.  30.    Hull's  Truss,  Soft  Pad. 


Price,  $2.00. 


G.  TIEMANN  &,  CO. 


Pig.  3L   Self- Adjusting,  or  Ball  and  Socket  Truss. 

Single,  Soft  Pad.     Price,  $3.00  to  $5.00. 


1^"  For  a  Truss,  measure  around  the  pelvis,  and  describe  the  rupture. 

Trusses  carefully  fitted.     A  lady  v/ill  wait  on  lady  customers  at  the  Branch 
Store,  107  East  28th  Street. 


Part  IV. 

14  GEO.    TIEMANN    &   CO.'S    SURGICAL    INSTRUMENTS, 

F.  A.   Stohlmann.  Edward  Pkarre. 

Fig.  32.    Self- Adjusting,  or  Ball  and  Socket  Truss. 

Double,  Soft  Pad.     Price,  $B.()U  to  $8.00. 


Fig.  33.    French.  Adjustable  Truss,  Double,  Soft  Pads. 

Price,  $8.00. 


Fig.  34.    Tiemann  ^  Co.'s  Finger-Pad  Truss. 


Price,  $5.00. 


For  a  Truss,  measure  around  the  pelvis,  and  describe  the  rupture. 

Trusses  carefully  fitted.     A  lady  will  wait  on  lady  customers  at  the  Branch 
Store,  107  East  2Sth  Street. 


Pai?t  IV. 
67   CHATHAM    STREET,    NEW-YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y, 


15 


Fig.  35.    Dr.  Folsom's  Hew  Truss. 


Price,  $20.00. 


{Extract  from  Medical  Record^  New  Yorh^ 

"  This  instrument  consists  of  a  back -plate  of  metal,  which  rests  npon  the  flat 
surface  at  tbie  upper  part  of  the  sacrum.  To  this  are  hinged  two  arms  of  steel, 
which  curve  around  the  pelvis  just  below  the  crest  of  the  ilium,  to  avoid  the  action 
of  the  glutei  muscles,  but  fitting  very  accurately  to  the  shape  of  the  body.  To 
their  extremities  are  attached  the  pads,  upon  which  they  exert  such  moderate  pres- 
sure as  will  ensure  safety  in  each  particular  case,  without  aggravating  the  condi- 
tion intended  to  be  relieved.  The  necessary  adjustment  of  curve  is,  therefore, 
given  in  each  case,  by  the  hand  of  the  surgeon,  before  tempering  and  finishing  the 
instrument.  In  no  other  way  can  the  same  degree  of  firmness  and  efiiciency  be 
obtained.  The  two  pads  are  connected  by  a  single  strap,  buttoning  on  studs  at 
their  upper  part.     A  double  truss  is  used  in  every  case  of  hernia." 

"  The  Truss  is  plated  with  nickel,  and  instead  of  being  covered  with  any 
absorptive  material,  is  worn  over  a  silk  handkerchief  or  flannel  bandage." 


Pig.  36.    Dr.  Schuppert's  G-alvanic  Truss. 


Price,  $15.00  to 


1^"  For  a  Truss,  measure  around  the  pelvis,  and  describe  the  rupture. 

Trusses  carefully  fitted.     A  lady  will  wait  on  ladj  customers  at  the  Branch 
Store,  lOY  East  28th  Street. 


16 


Part  IV. 

GEO    TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  37.    Bow  Spring  AlDdominal  Supporter. 


Price,  $4.00  to  $5.00. 


Fig.  38.    Fitch's  ATDdomiiial  Supporter. 

Price,  $4.00  to  $6.00. 


Fig.  39.    Eugene  ATDdominal  Supporter. 


Price,  $6.00. 


jj^^  The  order  for  an  Abdominal  Supporter  sliould  be  accompanied  with  the 
measure  around  the  pelvis. 

Supporters  and  Trusses  carefully  fitted.  A  lady  will  wait  on  lady  customers  at 
the  Branch  Store,  107  East  28th  Street. 


Pakt  IV. 
67   CHATHAM    STREET,    NEW-YORK 
Branch  Store, 


17 


107  East  28th  St.,  N.  Y. 


Fig.  40.    London  AlDdominal  Supporter. 

Price,  $5.00. 


Fig.  41.    Abdominal  Bandage. 

Price,  $6.00. 


JlJIiiiiiiiliiiiiiiiiiliiiiiiiiiiiiiiliiiliiliiliiiiiSili 

hliilll!liill!ili;.       iji,^      ,;:  ,       '  ,  ,   ;  :    '       .    .        ■    ,i  r.''!',   '.  .    .   ■  i  ■ 


Fig.  42.  Noeggerath's        43.  Thomas'       44.  Silk  Elastic  Belt. 


Price,  I  6.00 


GE0.TIEIV1ANN&C°  N.Y. 


Price,  $  8.00 


Price,  $  12.00  to  16.00 


1^^  The  order  for  an  Abdominal  Supporter  shonld  be  accompanied  with  the 
measure  around  the  pelvis. 

Supporters  and  Trusses  carefully  fitted.  A  lady  will  wait  on  lady  customers  at 
the  Branch  Store,  107  East  28th  Street. 


Part  IV. 

18  GEO.  TIEMANN   &   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


We  have  on  hand  cotton  elastic  abdominal  helts,  canvas  riding  belts,  satin-jean" 
abdominal  belts,  etc. ;  also  Braints',  Phelps',  Duo-as',  Scanzoni's,  the  Boston,  and  a 
variety  of  other  supporters,  and  make  to  order  any  other  pattern  desired. 


Cotton  ELastic  Abdominal  Belt, 

Braun's  Abdominal  Supporters, 

Phelps'  Abdominal  Supporter, 

Dugas'  Abdominal  Supporter, 

Boston  Abdominal  Supporter, 

Riding  Belts,  with  stays,  lined  with  chamois, 

Canvas  Abdominal  Belts, 

Satin-jean  Abdominal  Belt, 


rice. 


8.00 
6.00 
5.00 
5.00 
6.00 
5.00 
4.00 
6.00 


Measurement  for  ISupporters : 
1.     Circumference  at  the  iliac  crests,         -         -  inches. 

Supporters  and  Trusses  carefully  fitted.     A  lady  will  wait  on  lady  customers  at 
the  Branch  Store,  107  East  28th  Street, 


Branch  Stoke 


Part  IV. 
67   CHATHAM    STREET,    NEW-YORK. 

]07  East  28tji  St.,  N.  Y. 


19 


Fig.  45.   Prolapsus  Ani  and  Pile  Supporter. 

Price,  $  8.00. 


Fig.  46. 
Miliano's  Compressor  for  Varicocele,  Swelling,  etc.,  of  the  Testes. 


We  keep  in  store  a  lartre  assortment  of  Suspensory  Bandages  of  ail  kinds  and 
patterns,  made  of  silk,  linen,  cotton,  leather,  etc. 


Part  IY. 

20  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

r.  A.  Stohlmann  Edward  Pfarre. 


SUSPENSORY  BANDAGES. 

46.  Miliano's  Compressor  for  Varicocele,  etc., 
Cotton  Suspensory  Baudage,     - 
Linen  Suspensory  Bandage, 
Silk  Suspensory  Bandage, 
Elastic  Suspensory  Bandages, 


PRICE 

$2.00 

.50  to    .75 

.75  to  1.25 

1.50  to  5.00 

2.00  to  5.00 


Figs.  47,  48,  49,  50.    Urinals  for  Incontinence. 


Fig.  47. 


Fig.  48. 


Fig.  50. 


Fig.  47  is  Tiemann  &  Co.'s  instrument  for  inverted  (Extrophy  of)  bladder.  It 
consists  of  a  metallic  or  hard  rubber  shield,  to  the  lower  extremity  of  which  is 
attached  an  elastic  tube  leading  to  a  soft  rubber  pouch,  to  collect  the  urine.  This 
is  buckled  to  the  thigh,  or  may  be  carried  down  to  the  boot.  Figs.  48,  49,  50, 
represent  soft  rubber  urinals  for  incontinence  of  urine.  We  have  various  other 
patterns  for  males  and  females  of  English,  Freiach  and  American  make. 

47.  Tiemann  &  Co's  Instrument  for  Extrophy  of  the  Bladder,  25.00  to  75.00 

48.  India  Rubber  L'rinal,  male,  plain,  .,.-..         2.50 
The  same,  male,  best,            ......  4.00 

49.  India  Rubber  Urinal,  male  or  female,  .  .  .         4.50  to  9.00 

50.  India  Rubber  Urinal,  male,  .  .  .  2.50  to  5.00 


Paet  IV. 

67   CHATHAM    STREET,    NEW   YORK.  21 

Branch  Store,  107  East  28th  St.,  N.  Y. 

Fig.  51  Apparatus  for  Un-united  Fracture, 

of  the  Humerus. 

Price,  $35.00  to  $70.00. 

The  object  of  this  instruinent  is  to  restore  an  arm  to  usefulness,  which  has  been 
deprived  of  the  power  of  motion  by  reason  of  ununited  fracture,  or  of  resection 
of  the  humerus.  This  is  accomplished  by  substituting  an  external  lever,  upon 
which  the  muscles  can  act,  for  the  injured  bone. 
A  brass  cap,  well  padded,  is  acourately  fitted 
to  the  shoulder,  and  kept  in  place  by  axillary 
straps  and  suspenders.  To  this  cap  we  attach, 
by  means  of  a  sort  of  universal  joint,  a  concave 
steel  bar,  covered  with  leather,  fitting  the  arm, 
and  buckled  thereto,  just  above  the  elbow-joint, 
and  as  high  up  as  may  be  necessary.  With  the 
aid  of  this  apparatus  a  person  can  use  his  arm  in 
many  directions.  In  order  to  make  this  appar- 
atus fit  well,  the  patient  must  either  visit  us  for 
adjustment,  or,  if  this  is  inconvenient,  the  sur- 
gical attendant  must  send  us  an  accurate  plaster- 
paris  cast  of  the  shoulder,  and  the  following  in- 
formation and 

Measukements  : 

1.  Patient's  name  (or  sex). 

2.  Right  or  left  arm  ? 

3.  Length  of  the  arm  from  axilla  to  forearm  when  flexed, 

4.  Length  from  shoulder  to  elbow, 
6.  Cireum'ference  of  the  arm  above  the  elbow, 
6.  Circumference  of  chest  under  axillae,     .- 


Fig.  52.    A  Substitute  for  the  Hand. 

By  David  Prestce,  M.  D.,  Jacksonville,  111. 
Price,  $60.00. 


(From  Medical  Record,  N.  Y.) 

"It  has  been  a  desideratum  to  provide  a  substitute  for  the  hand  which  will 
enable  a  person. to  hold  a  pen  or  pencil,  and  with  the  same  instrument  to  grasp 
the  handle  of  a  hoe  or  shovel.  In  186-i  I  explained  my  plan  to  Mr.  Stohlmann, 
of  the  firm  of  Tiemann  t%  Co.,  of  ]^ew  York.  Mr.  Stohlmann  entered  with  enthu- 
siasm into  the  idea  and  produced  an  instrument  which  combined  the  two  points 
of  usefulness,  the  capability  of  grasping  small  objects  like  pins  and  pencils,  and 
objects  of  considerable  size,  like  the  handle  of  an  axe  or  hammer,  a  whip,  &c. 

A  conception  of  the  instrument  will  readily  be  obtained  by  a  glance  at  the  cut. 
The  apparatus  a  is  fastened  to  the  investment  of  the  limb  by  means  of  a  screw, 


22 


Pabt  IV. 

GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann.  ■  Edward  Tfarre. 


and,  hj  aid  of  the  other  band,  it  may  readily  be  repLaced  by  a  fork,  if  it  is  not 
preferi-ed  to  liold  the  fork  in  the  grasp  of  the  insti-umeut,  or  a  gloved  hand  can  be 
screwed  on  in  place  of  the  useful  instrument. 


The  fenestrnm  b  is  for  holding  a  whip  or  hammer,  and  its  size  is  regulated  by 
a  screw  so  as  to  iit  objects  of  different  sizes.  Small  objects  are  held  in  the  fork 
at  the  ends  of  the  apparatus,  and  by  screwing  down  more  or  less  the  lever  which 
constitutes  one  side  of  the  fenestrnm,  the  grasp  can  be  accommodated  to  the  size  of 
a  needle  or  a  pencil. 

The  instrument  is  represented  in  the  cut  as  not  quite  closed,  for  small  objects. 

The  screw,  which  constitutes  the  shank  of  the  instrument,  is  so  arranged  that 
it  can  be  made  stationary,  a  necessary  condition  in  holding  a  whip  or  a  hammer, 
or  left  to  rotate,  as  would  be  necessary  in  holding  the  handle  of  a  plough. 

It  will  be  seen  that  the  instrument  has  great  variety  of  adaption. 

There  are  elastic,  sti-aps  cg  attached  to  the  investment  of  the  arm,  and  to  a 
shoulder-cap  d,  and  passed  around  the  chest  to  prevent  the  whole  apparatus  from 
sliding  off  in  pulling  or  in  carrying  a  weight. 

The  instrnment  is  very  far  from  being  an  adequate  substitute  for  the  natural 
hand,  but  it  is  believed  that  it  combines  the  utility  of  a  grasp  for  large  objects  com- 
bined with  the  capability  of  holding  small  things  better  than  any  instrument  which 
has  yet  been  devised.^^ 

An  order  for  Prince's  Substitute  for  the  Hand  should  be  accompanied  by  the 
tollowing : 

MEAStOREMBNT  I 

1.  Right  or  left  arm.  inches. 

2.  Distance  from  shoulder  to  elbow,          .             .  .         '' 

3.  Distance  from  elbow  to  the  extremity  of  stump,  " 

4.  Distance  from  axilla  to  elbow,             .             .  ,         "        ' 

5.  Distance  from  axilla  to  extremity  of  stump,  .  .     " 

6.  Circumference  of  wrist,            .             .             .  ,  " 
Y.  Circumference  of  forearm,              .             .  .             .     " 

8.  Circumference  of  arm,      .         .  .  .  .  " 

9.  Circumference  of  chest,      .  .  .  .  ,     " 

"  10.    Length  of  the  sound  arm,         .  .  .  .  "  ' 

11.   A  pencil  sketch  of  the  size  of  sound  hand. 


Part  IV. 

67   CHATHAM    STREET,    NEW-YORK.  23 

Branch  Store,  107  East  28th  St.,  N.  Y. 

Fig.  53.    Apparatus  for  False  Anchylosis  of  the  Elhow-joint, 

Price,  $18.00. 

The  apparatus  here  represented  is  for  the  gradual 
extension  of  contracted  muscles.  By  persistent  and  daily 
passive  and  active  exercise,  a  flexible  and  useful  joint 
may  be  restored,  it  may  also  be  used  for  forcible  break- 
ing up  of  false  anchylosis,  if  the  surgeon  prefers  this  to 
gradual  extension.  It  forms  also  a  safeguard  against 
malposition,  for  should  it  be  deemed  impossible  to  effect 
a  cure,  the  arm  may  be  fixed  in  such  a  position  to 
anchylose  as  shall  give  it  the  greatest  usefulness. 


lEMANN&OO 


Description  and  Measueement. 
1.   Right  or  Left  Arm. 

Length  from  wrist  to  elbow-joint  {A  to  C), 
Length  from  wrist  to  axilla  (A  to  D), 
Circumference  of  wrist  (A), 
Circumference  of  forearm  (5), 
Circumference  of  elbow-joint  {€), 
Circumference  of  arm  {!)), 


Fig.  54.    Glove  for  Paralysis  of  the  Hand  and  Fingers, 


Price,  $20.00  to  $30.00. 

This  apparatus,  made  of  strong  yet  pliable  material, 
reaches  about  two  inches  above  the  wrist,  and  is  ar- 
ranged to  lace  snugly,  to  prevent  displacement. 

Five  india-rubber  cords,  acting  as  artificial  extensors, 
are  distributed  along  the  back  of  the  fingers  and  thumb. 
The  ends  of  these  cords  are  provided  with  hooks  which 
take  hold  of  loops  at  the  extremities  of  the  fingers  and 
thumb,  and  of  chains  connected  to  straps  at  the  wrist. 
These  artificial  muscles  act  independently  one  of  the 
other,  and  their  strength  can  be  regulated  by  hooking 
them  to  the  chains  so  as  to  make  them  more  or  less 
tense.  They  are  passed  through  loops  to  prevent  their 
slipping  out  of  place. 

Description  and  Measurement. 

1.  Right  or  left  hand. 

2.  Lay  the  hand  on  a  sheet  of  paper  and  trace  the  out 

lines  with  pencil,  as  far  as  the  glove  is  to  reach. 

3.  Circumterence  of  the  wrist. 

4.  Circumference  of  the  hand  anterior  to  the  thumb. 


Part  IV. 
24.  GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  S6.   Apparatus  for  Preventing  Dislocation  of  Shoulder-joint. 

Price,  $6.(10  to  $9.00. 

Tliis  apparatus  is  to  be  worn  after  re- 
duction of  a  dislocated  liumerus,  to  f^uard 
against  a  recurrence,  and  also  for  the  pur- 
pose of  relieving  permanent  dislocation 
arising  from  a  laxity  of  tlie  ligaments,  or 
from  paralysis  of  tlie  deltoid  and  scapular 
muscles.  It  is  made  of  satin-jean  with  a 
leather  shoulder-cap. 

Directions  for  Measurement. 

1.  Patient's  name. 

2.  Patient's  weight  (estimated). 

3.  Right  or  left  shoulder. 

4.  Circumference  of  the  arm. 

5.  Circumference  axilla  to  acromion. 

6.  Circumference  of  chest  under  axilla. 

Dislocation  at  the  Shoulder- Joint. — Dislocation  at  the  shoulder  may  be 
very  conveniently  reduced  by  causing  the  patient  to  mount  to  a  convenient  height 
on  some  "steps,"  placing  his  arms  across  the  top  step,  upon  which  is  placed  a 
pillow.  The  top  step  acts  as  fulcrum,  and  the  weight  of  the  patient's  body 
answers  to  a  great  extent  as  counter-extension. — Dr.  G.  Hamilton. 


Pig.  56.    Sir  Astley  Cooper's  Apparatus  for  Dislocated  Clavicle. 


Price,  $5.00. 


G.  TIEMANN  &C0 


Supporters  and  Trusses  carefully  fitted.     A  lady  will  wait  on  lady  customer? 
at  the  Branch  Store,  107  East  28th  Street. 


Part  IT. 


67   CHATHAM    STREET,    NEW-YORK. 
Branch  Store,  107  East  2Htu  St.,  N.  Y. 


25 


Aparatns  for  tlie  Treatment  of  Deformities  and  DeMlities  of  tlie  Lower  Eitremities. 
Fig.  57.    Extension  for  a  Short  Leg. 

Price,  of  brace,  $9.00.* 

For  a  short  leg,  the  result  of  infantile  paralysis,  when 
the  bones  have  not  kept  pace  in  growth  with  those  of 
the  corresponding  extremity,  we  make  an  extension  to 
correct  the  patient's  limp,  and  to  guard  against  the  danger 
of  spinal  curvature.  The  apparatus  consists  of  a  steel 
frame  of  proper  height,  securely  fastened  under  a  plain 
shoe.  The  steel  base  has  a  leather  sole  attached,  to  avoid  noise  when  walking  on 
pavements,  stone  or  wooden  floors,  and  to  prevent  falling  on  slippery  ground. 
These  extensions  are  light  and  comfortable.     See  also  Figs.  58  and  59. 

Directions  Foe  Measurement. 

1.  Have  the  patient  (both  feet  bare)  stand  np,  place  books  or  blocks  of  wood  under 

the  short  foot  until  the  shoulders  and  pelvis  are  in  a  horizontal  plane,  then  mea- 
sure these  books  or  blocks,  which  will    be  the  height  required  for  extension. 

2.  Send  us  a  well-fitting  shoe.  3.    Right  or  left  leg  ? 


Fig.  58. 
Extension  for  a  Short  Leg  and  Brace  for  Weak  Ankle  comhined. 

Price,  of  brace,  $18.00.* 

If  shortness  of  a  leg  is  accompanied  with  inability 
to  bear  the  weight  of  the  body,  the  muscles  being  too 
weak  to  keeu  the  ankle  straight,  the  simple  contrivance 
described  (Fig.  57)  is  not  sufficient,  and  the  apparatus," 
as  shown  by  Fig,  58,  will  be  required  to  support  the 
joint.  (This  is  in  reality  the  apparatus  Fig.  57  and  Fig. 
.  60,  combined.) 

Directions  for  Measdrement. 

1.  Heighth  of  the  extension  as  directed  for  Fig.  57. 

2.  Right  or  left  leg?  inches. 

3.  Distance  from  sole  to  ankle-joint,         .  .       " 
"          4.    Distance  from  sole  to  calf,              .             .  " 

5.  Circumference  of  calf,  .  .  .      " 

6.  Send  us  a  well-fitting  laced  shoe. 

If  we  are  to  furnish  shoes,  send  the  following  measure : 
a  Length  of  sole  of  foot,  h  Circumference  of  ball  of  foot, 

0  Circumference  of  instep,  d  Circumference  alcove  the  ankle, 

*  Shoes  are  charged  extra,  according  to  quality. 


26 


Part  IT. 

GEO.  TIEMANN    &    CO.'S   SURGICAL    INSTRUMENTS. 

Edward  Pfarre. 


F.  A.  Stohlmann. 


Fig.  59.    Bigg's  Instrument  for  Short  Leg. 

Price,  $35.00. 

This  iiistrutuent  is  very  useful  where  shortening 
of  the  limb  is  the  result  of  anchylosis  of  the  knee- 
joint.  It  is  a  modification  of  Bigg's,  and  consists  of 
a  thigh  trough,  well  padded,  and  attached  to  a  strong 
steel  stem,  bifurcating  below  the  knee,  and  running 
down  the  side  of  the  leg,  terminating  in  a  socket 
which  is  filled  up  with  a  rubber  bottom  to  rest  on  the 
ground.  The  thigh  is  secured  into  the  apparatus  by 
straps  and  buckles.  The  weight  of  the  body  is  trans- 
mitted to  the  ground  by  the  side  stems  in  a  vertical 
line,  without  straining  the  knee.  For  further  comfort, 
the  knee  may  be  kept  in  place  by  a  knee-cap.  A 
strap  is  passed  over  the  middle  of  the  leg,  whilst  the 
foot  rests  on  a  swiveled  plate  placed  between  the 
bifurcated  stem. 


Directions  fok  Measurement. 
Patient's  name. 
Right  or  left  leg  ? 

Length  from  sole  of  foot  to  knee-joint. 
Length  from  knee-joint  to  upper  third  of  thigh. 
Circumference  of  the  thigh,  .... 

Circumference  of  the  calf,         ..... 
Degrees  of  the  angle  of  flexion,      .  .  .  . 

Distance  from  the  heel  of  the  patient's  shoe  to  the  ground 
when  standing  erect,  .... 


Fig.  591d.    Steel  Soles  for  Flat  Feet. 

Price  for  one  sole,  $2.50. 
Price  for  a  pair,     $5.00. 


For  flat  feet  we  make  a  plain  steel  sole  well  tempered,  and  shaped  to  approach 
an  ideal  arch  of  a  foot.  These  soles  are  covered  with  buckskin  and  fastened  inside 
of  a  common  shoe  with  a  single  screw.  They  afford  a  person  afflicted  vvith  flat 
feet  immediate  relief  They  should  be  thin  to  yield  a  little,  but  strong  enough  to 
keep  the  bones  arched  In  ordering  the  steel  sole  for  flat  feet,  state  if  they  are 
wanted  for  the  right,  left,  or  both  feet  and  send  the  shoes  or  outlines  of  the  soles 
of  the  shoes  traced  on  paper. 


Paet  IV. 

67   CHATHAM   STREET,    NEW-YORK. 
Branch  Store,  107  East  28tu  St.,  N.  Y. 


27 


Fig.  60.    Apparatus  for  the. Support  of  Weak  Ankles. 

Price  of  a  brace,  for  one  leg  only,  $8.  to  $10.00 
Price  for  a  pair  of  Braces,  $16.  to  $20.00 

1^^  Shoes  are  charged  extra  according  to  the  quality. 

These  instruments  are  used  to  maintain  the  position  of  the  foot,  ufter  tlie 
relief  of  valgus   or  varus  by  the    regular  clubfoot  shoe,  and    also    for  correcting 
simple  lateral  inversion  or  eversion  of  the  ankle-joint, 
resembling  varus  or  valgus,  commonly  called  weak  ankle. 

We  attach,  by  means  of  three  rivets,  to  the  sole  of  a 
common  laced  shoe,  a  lateral  stem,  jointed  at  the  ankle 
(a),  passing  as  high  as  the  centre  of  the  calf,  and  here 
fixed  to  a  band  (5).* 

The  ankle  is  supported  and  kept  in  its  corrected 
posture  by  a  triangular  Y-shaped  leather  strap  (c)  acting 
against  and  buttoned  to  the  steel  stem  on  the  opposite 
side. 

The  best  direction  for  selecting  the  side  on  which 
the  instrument  should  be  applied,  is,  that  if  the  outer 
ankle  has  a  tendency  to  eversion,  the  apparatus  should 
invariably  be  placed  to  the  inner  side,  and  vice  versa. 

In  obstinate  cases  it  is  made  with  double  stems,  in  order  to  give  greater  secu- 
rity, and  to  keep  the  sole  in  a  strictly  horizontal  plane ;  the  ankle  may  be  further 
protected  by  a  small  round  soft  pad,  to  prevent  chafing  against  the  steel. 

In  ordering  the  apparatus,  send  the  description  and  measurements  as  directed 
on  the  next  page  for  apparatus.  Fig.  62. 


Pig.  61,   Talipes  Eq^mnus. 


Pabt  IV. 


28  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  62. 
Apparatus  for  Weak  Ankle  and  Contracted  Tendo  Achillis. 

Price  of  a  brace,  for  only  one  leg,  $8  to  $12.00 
Price  of  a  pair  of  braces,  $16  to  $24:. 00 

IJ^^  Shoes  are  charged  extra  according  to  quality. 

(talipes  equinijs.) 

Should  there  be  contraction  of  the  tendo  achillis, 
and  consequent  dropping  of  the  toes,  it  is  conveniently 
corrected  by  means  of  an  artificial  elastic  muscle,  one 
end  of  which  is  fastened  to  tlie  sole  of  the  shoe  (Fig.  62), 
the  other  to  the  calf-band  (J) ;  it  may  be  regulated  to 
any  degree  of  tension  by  means  of  a  buckle  (<?). 

In  ordering  the  apparatus,  send  the  following  descrip- 
tion and  measurements : 

1.  Patient's  name  (or  sex). 

2.  Patient's  age 

3.  Weak  ankle,  resembling  varus  or  valgus  ? 

4.  Pight,  left,  or  both  feet  ? 

5.  Tendo  achillis  contracted  ?  inches. 

6.  Length    from    sole    of   foot  to  ankle-joint,  " 

7.  Length  from  sole  of  foot  to  calf,         -  '' 

8.  Circumference  of  calf,  -  -  -  " 

If  you  wish  us  to  furnish  shoes,  send  the  following  additional  measurements : 

9.  Length  of  sole  of  foot.            -             -             -             -                     .     -  " 

10.  Circumference  of  ball  of  foot,      -----  " 

11.  Circumference  of  instep,        ----..  " 

12.  Circumference  above  ankle,         -             -             -             -            *  -        " 

Tenotomes. 

See  Pigs.  22,  23,  24,  25.     Part.  I. 

We  believe  it  is  in  cases  of  talipes  equinus,  that  the  best  results  of  tenotomy  are 
seen.     Speaking  of  this  operation,  Mr.  Listen  says  in  his  "Practical  Surgery," — 

"  Twenty-five  instances  of  division  of  the  tendon  have  come  uuder  our  care  with- 
in the  last  six  or  eight  months,  and  an  almost  uniform  success  has  followed  the 
practice  pursued.  In  some  a  rapid  cure  was  effected,  and  in  all  marked  good  effects 
followed.  Even  in  the  most  unfavorable  instances,  when  the  deformity  was  both 
great  and  of  long  standing,  the  application  of  proper  apparatus  within  a  week  or 
two  after  the  operation,  produced  a  more  decided  improvement  in  the  form  of  the 
limb  m  two  or  three  months  than  usually  follows  the  adaption  of  mechanical  means 
alone  m  twice  as  many  years." 


Paut  IV. 

67   CHATHAM    STREET,    NEW-YORK.  29 

Branch  Store,  107  East  28Tir  St.,  N.  Y. 


Fig.  63.    Improved  CMfoot  Apparatus  for  Talipes  Varus. 

Price  of  a  single  shoe,  complete,  $10.  to  $14.00. 
Price  of  a  pair  of  shoes,  complete,  $20.  to  $28.00,  according  to  size. 


Extract  from  the''  Medical  Record"  New    York,  Aug.  l(jt/i,  18G9. 

"The  following  is  a  description  of  a  very  neat,  effective,  and  comparatively 
cheap  apparatus  for  talipes,  devised  by  Messrs.  Geo.  Tiemann  &  Co.,  instrument 
makers  in   this  city. 

"  The  sole  of  this  strong  leather  shoe  is  of  metal,  with  a  joint  near  the  heel, 
allowing  lateral  motion.  A  strong  and  durable  spiral  spring,  as  shown  in  the  cut 
(a),  draws  the  foot  outward  by  a  constant,  elastic,  and  easy  traction.  This  pressure 
is  increased  or  decreased  at  will,  by  fastening  the  spring  in  a  series  of  sockets  (c). 

"The  single  outside  upright  steel  bar,  with  joints 
at  the  ankle,  is  fastened  round  the  limb  below  the 
knee-joint,  and  so  constructed  that  the  screw  at  the 
ankle-joint  forces  the  foot  flat  upon  the  floor,  which 
foot  in  almost  all  cases  is  turned  under  as  indicated  by 
the  sketch.  The  spiral  spring  (d),  attached  to  a  catgut 
cord  and  fastened  near  the  toes  upon  the  outside  of  the 
foot,  elevates  the  toes  and  stretches  the  tendo  acliillis, 
thus  drawing  the  foot  to  its  natural  position. 

"  The  shoe  is  well  padded,  and  as  there  is  no 
metal  in  the  heel-cap,  no  excoriation  is  occasioned. 
The  contraction  of  the  leather  above  the  heel  prevents 
the  shoe  from  slipping  off  (always  so  diflicult  to  retain 
in  fleshy  infants).  The  straps  round  the  instep  de- 
press any  undue  prominence  of  the  arch  of  the  foot, 
and  within  the  shoe  a  .broad  and  well-padded  tongue 
keeps  the  toes  flat  upon  the  sole  of  the  shoe.  This 
apparatus  resembles  much  the  regular  shoe,  and  sliows 
no  deformed  appearance." 
A  very  simple  and  light  night  shoe,  to  keep  the  foot  in  the  same  position  gained 
by  the  above  shoe  during  the  day-time,  is  of  much  service. 

For  Talipes  YalgtjS;  the  same  principle,  but  with  reversed  action  is  applied. 
In  ordering  the  above  shoe,  please  send  the  following  measurements: 

INXHES. 

1.  Length  of  sole  of  foot,             .  .         .         .         .             '' 

2.  Circumference  of  calf  (d),            ..  _         .         .         .        >' 

3.  Circumference  of  instep  (c),  _         _         _         _             " 

4.  Circumference  of  ball  of  foot  (a),  .         .         .         _        " 

5.  Circumference  above  ankle  (h),  .         .         .         .           " 

6.  Length  from  sole  to  upper  part  of  calf  {d)         .         -  « 
Y.  Eight  or  left  foot? 

8.  Talipes — varus  or  valgus? 


Pakt  IV. 


30 


GEO.    TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


€  TJEWIANN&CO" 


Fig.  64.  Dr.  L.  A.  Sayres'  Improved  Ball  and  Socket  Clubfoot  Shoe. 

Price  of  a  single  Shoe,  complete,  $  10.  to  14.00. 

Price  of  a  pair  of  Shoes,  complete,  $  20.  to  28.00,  according  to  size. 

The  accompanying  drawing  (Fig.  64)  and  explan- 
ations give  a  very  correct  idea  of  its  construction  and 
modes  of  action.  A  cushioned  iron  cap  to  receive  the 
heel,  the  leather  covering  of  which  is  carried  over  the 
instep  and  ankle,  and  fastened  by  lacing.  Elastic 
tubing  {IV)  to  go  in  front  of  the  ankle-joint,  to  further 
secure  the  heel  in  position,  and  fastening  at  (C)  an  iron 
hook  on  outside  of  heel-cap.  Sole  of  shoe  (D),  cush- 
ioned, and  laced  securely  in  front  of  the  medio-tarsal 
articulation.  Ball  and  socket-joint  {IE),  connecting  sole 
with  heel.  Elevated  plate  of  iron  {F),  properly  cush- 
ioned, to  make  pressure  against  base  of  first  metatar- 
sal bone.  Steel  bars  {G),  connecting  the  shoe  with 
strap  {H)  to  go  around  the  calf.  Joint  {K)  opposite 
the  ankle.  Stationary  hooks  (Z),  opposite  the  toes,  for  attaching  the  india-rubber 
muscles  {M M  M).  These  india-rubber  tubes  have  chains  attached,  and  are  for  the 
purpose  of  making  flexion  and  eversion. 

This  shoe  has  been  made  more  comfortable  and  convenient  by  a  slight  heel,  and 
by  making  the  upper  leather  nearly  like  that  of  an  ordinary  shoe,  and  not  so  clumsy 
as  the  primitive  clubfoot  shoe.  The  upper  leather  adapts  itself  more  perfectly  by 
lacing  than  if  arranged  Avith  straps  and  buckles.  This  shoe,  as  pictured  above,  is 
an-anged  for  valgus  or  varus.  There  is  really  no  essential  difference,  only  observe 
the  principle  to  apply  the  artificial  muscles  in  such  Dosition  as  shall  best  supply  the 

place  of  those  paralyzed. 

Measueements  : 

1.  Length  of  sole  of  foot,  .  .  .  .     Inches. 

2.  Circumference  of  calf,  .  ,  =  .  " 

3.  Circumference  of  instep,  .  .  .  .         " 

4.  Circumference  of  ball  of  foot,  .  „  .  " 

5.  Circumference  above  ankle,         .  .  .  .         «« 

6.  Length  from  sole  to  upper  part  of  calf,         .  ,  " 

7.  Right  or  left  foot  ? 

8.  Talipes — varus  or  valgus? 


Sayres' 

Chains  and  Tin  Splints  always  on  hand,  Fig.  76.   .  Hip-joint  Splints,  Fig.  82. 

Rubber  Tubing  for  Artificial  Muscles,  per  foot,  12  cents. 

Knee-joints,  Fig,  93,  and  Ankle-joint  Splints,  Fig,  98,  always  on  hand. 
Wire  Loops  and  Hooks,  price  each  10  cents, 


Paht  IV. 

67   CHATHAM   STREET,   NEW-YORK.  31 

Branch  Store,  107  East  28tu  St.,  N.  Y. 


Fig,  65.    Talipes  Valgus. 


Fig.  66.    Talipes  Calcaneus. 


Fig.  67.    Apparatus  for  Talipes  Calcaneus. 

Price  for  a  brace,  for  one  leg  only,  $10.  to  $12. 
Price  for  a  pair  of  braces,  $20.  to  $24. 


This  instrument  consists  of  a  pair  of  steel  stems,  fast- 
ened to  a  shoe,  provided  with  joints  at  the  ankle,  and 
secured  to  the  leg  with  a  calf-band.  A  sti-ong  elastic 
cord,  or  webbing,  is  fastened  posteriorly  to  the  calf- 
band  above,  and  to  a  spur-like  piece  of  steel  at  the 
heel  of  the  shoe  below.  By  drawing  this  cord  tight, 
the  uplifted  sole  is  faced  downward,  and  the  strain 
on  the  tendo  achillis  is  diminished ;  at  same  time  the 
contracted  muscles  in  front  of  the  leg  are  extended. 


Fig.  68,    Apparatus  for  Talipes  Calcaneus. 

Price  of  a  brace,  for  one  leg  only,  $10.  to  $12. 
Price  of  a  pair  of  braces,  $20.  to  $23. 

Fig.  68,  shows  the  same  apparatus  with  this  differ- 
ence: instead  of  the  cord,  or  elastic  webbing  contracting 
posteriorly  in  Fig.  67,  we  have  a  Steel  Spiral  Speixg, 
placed  on  a  pivot  and  playing  between  brackets  of  the 
leg  and  ankle  stem,  to  depress  the  front  part  of  the  foot 
by  extension.  There  is  not  so  much  danger  of  falling 
with  this  apparatus,  when  descending  stairs,  the  spurs, 
shown  in  Fig.  67,    being  dispensed  Avith. 

Measures  for  figs.  67  and  68,  see  next  page. 
Sho^s  are  charged  extra  according  to  quality. 


Part  IV. 


32                               GEO.   TIEMANN   &   CO.'S  SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 

1.  Patient's  name. 

2.  Patient's  weight. 

3.  Patient's  age. 

4.  Right  or  left  foot.  Inches. 

5.  Length  from  sole  to  ankle-joint,  ..." 

6.  Length  from  sole  to  calf,  .             .             .             .     '' 

7.  Circumference  of  calf,              .  .             .              .              " 

If  Ave  are  to  furnish  shoes,  the  following  measures  are  required  in  addition 

a  Length  of  the  foot,  .             .             .              Inches, 

b   Circumference  of  ball  of  foot,  ..." 

G   Circumference  of  instep,  .             .              .             .     " 

d  Circumference  of  ankle,           .  .             .             .             " 


Fig.  69.    Apparatus  for  the  Support  of  Weak  Legs. 

Price  of  Apparatus  for  adults,       $35.  to  $70.00. 
Price  of  Apparatus  for  children,  $25.  to  $35.00. 

This  apparatus  is  for  the  support  of  weak  legs,  when, 
by  reason  of  relaxed  joints,  softening  of  the  osseous  struc- 
ture, or  partial  paralysis,  they  cannot  quite  bear  the 
weight  of  the  body;  but  where  the  muscles  still  retain 
some  power  to  perform  their  respective  functions.  Yery 
light  steel  springs  are  secured  to  shoes,  and  carried  up 
the  sides  of  the  legs  and  to  the  pelvis.  They  are  provided 
with  joints  corresponding  to  the  natui'al  ones  and  secured 
to  calf,  thigh,  and  pelvis  by  well-padded  bands  and 
buckles.     Measures  required  : 


Inches. 


1.  Patient's  name. 

2.  Patient's  age. 

3.  Length  from  sole  of  foot  to  ankle-joint,.                .  .     " 

4.  Length  from  sole  of  foot  to  knee-joint,           .             .  "            . 

5.  Length  from  sole  of  foot  to  hip-joint,     .             .  ,         " 

6.  Length  from  sole  of  foot  to  iliac  crests,           .              .  " 

7.  Circumference  of  pelvis  one  inch  below  iliac  crests,  ,          " 

8.  Circumference  of  thigh,          .             .              .              .  " 

9.  Circumference  of  calf,    .             .       •      .             ,  .         " 

Send  well-fitting  laced  shoes,  or  if  you  wish  us  to  furnish  them,  the  following 
measurements : 

a  Length  of  sole  of  foot,           .               ...  Inches. 

h    Circumference  of  ball  of  foot,     .             .             .  .         " 
c   Circumference  of  instep,           ..".•" 

d  Circumference  above  ankle,         ,             .             .  .         " 

m^"  Shoes  charged  extra,  according  to  quality. 


Part  IV. 


67   CHATHAM    STREET,  NEW-YORK. 

Branch  Store.  107  East  28tji  St..  N.  Y. 


33 


Fig.  70.    Apparatus  for  Partial  Paralysis  of  the  Leg  or  Thigh. 

Price  of  tlie  apparatus  for  one  leg,  full  length,  as  shown  in  fig.  70, 

$25.  to  $30. 
Price  of  the  apparatus,  for  both  legs,  full  length,  $30.  to  $60. 
According  to  size  and  workmanship.     Shoes  extra.  «»         ^ 

In  cases  of  wasting  palsy,  or  when  certain  groups  of  mus- 
cles become  atrophied  losing  the  power  to  perform  their 
functions,  an  apparatus  as  shown,  Fig.  70,  suited  to  the  case, 
should  be  worn.  The  muscles  are  excited  into  action,  and 
aided  by  artificial  substitutes  made  of  elastic  rubber  or  steel, 
placed  on  the  instrument  so  as  to  gently  exercise  the  affected 
parts.     This  will   often   recall   them  to    a   sense  of  their   duty. 

Directions  for  Measurement: 


Inches. 


1.  Patient's  name. 

2.  Patient's  age. 

3.  Right  or  left  leg. 

4.  Length  from  sole  of  foot  to  ankle-joint, 

5.  Length  from  sole  of  foot  to  knee-joint, 

6.  Length  from  sole  of  foot  to  upper  third  of  thigh, 

7.  Circumference  of  calf,  .... 

8.  Circumference  of  knee,      . 

9.  Circumference  above  knee,     .... 
10.  Circumference  of  thigh,    .... 

Send  laced  shoes.     If  you  wish  us  to  furnish  shoes,  the  following  additional  meas- 
urements are  required : 


Inches. 


a  Length  of  sole  of  foot,    .  .  .  , 

&  Circumference  of  ball  of  foot, 

c  Circumference  of  instep,  •  .  .  .         " 

d  Circumference  above  ankle,  .  .  .  ,     " 

If  both  legs  are  of  equal  length  the  above  apparatus  is  suflficient ;  but  if  the 
affected  limb  is  shorter  than  its  fellow,  the  extension  apparatus,  Fig.  57,  must  be 
combined  with  it,  this  will  add  $8.00  to  the  price  above  stated. 


PHYSICIAN'S  POCKET  MEDICINE  CASES, 

Designed  for 

SQUIBB'S  STANDARD  PHARMACEUTICAL  PREPARATIONS, 

By 
ROBERT  M.  FULLER,  M.  D.,  New  York. 


See  page  126,  Part  I. 


34 


Part  1Y. 

GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  71.    Apparatus  for  Hemiplegia. 


Inches. 


Price  of  apparatus,  for  one  lea^,  %'?><).  to 

The  apparatus  represented  bj  Fig.  71  is  for  hemiplegia, 
affecting  the  limb  to  tlie  hip-joint.  We  have  often  had 
occasion  to  make  it,  and  found  it  to  answer  a  good  purpose, 
both  as  a  support,  and  in  aiding  the  restoration  of  the  mobil- 
ity of  the  muscles.  It  answers  to  the  same  description  as  Fig. 
70;  but  is  carried  up  to  the  pelvis.  On  to  a  broad  steel  pelvic 
band  we  fasten  the  artificial  muscles  for  flexion  or  extension, 
as  the  case  may  require.  It  may  also  be  worn  with  good  re- 
sults after  treatment  of  hip-joint  disease,  when,  by  adding  a  per- 
ineal band,  the  weight  of  the  body  is  borne  by  the  apparatus. 

Send  the  Following  Measurements  : 

1.  Patient's  name  and  description  of  the  case. 

2.  Patient's  age. 

3.  Right  or  left  leg. 

4.  Length  from  sole  of  foot  to  ankle-joint, 

5.  Length  from  sole  of  foot  to  knee-joint,     . 

6.  Length  from  sole  of  foot  to  trochanter-major, 

7.  Length  from  sole  of  foot  to  crest  of  ilium, 

8.  Circumference  of  calf, 

9.  Circumference  of  knee,      .... 

10.  Circumference  above  knee, 

11.  Circumference  of  thigh,    .... 

12.  Circumference  of  pelvis  one  inch  below  iliac  crests, 

Patients  will  furnish  their  own  laced  shoes,  or  send 
the  following  additional  measurements,  if  they  wish  us 
to  furnish  them : 

a   Length  of  sole  of  foot,     .         .  .         Inches, 

h    Circumference  of  ball  of  foot,       .  .       " 

c   Circumference  of  instep,          .  .             " 

d  Circumference  above  ankle,           .  .       " 


Shoes  extra. 


Fig.  72.  Apparatus  for  Paraplegia. 

Price  of  apparatus  for  both  legs,  $35.  to  $70.   Shoes  extra. 

The  apparatus  for  paraplegia  answers  to  the  same 
description  as  the  one  for  hemiplegia,  except  that  it  is 
double.  It  is  used  when  both  the  lower  extremities  are 
affected.  A  general  description  of  the  case  is  necessary 
to  guide  us  in  placing  the  artificial  muscles  in  the  right 
spot.  The  directions  for  measurements  are  the  same  as 
for  the  apparatus  for  hemiplegia.  Fig.  7L 


Pakt  IV. 
67   CHATHAM   STREET,    NEW-YORK 
Branch  Store, 


107  East  28ti£  St.,  N.  Y. 


S5 


Fig.  73.    Bow-leg  Braces, 

Price  for  a  pair  of  braces,  $25.  to  $30.00. 
Shoes    are  charged  extra,  according  to  quality. 

The  mechanical  treatment  of  bow  legs  is  very  simple.  1.  The  bones  in 
a  softened  condition,  yielding  under  the  weight  of  the  body,  must  be  as- 
sisted by  extraneous  help.  2.  The  arched  bones  must  be  restored  to  their 
normal  condition.  The  instrument  illustrated  by  the  cut  answers  the  pur- 
pose  admirably. 

The  support  is  given  by  double  stems  of  steel  (secured  to 
a  shoe)  carried  up  as  high  as  the  thigh — jointed  at  the  an- 
kle and  knee  to  allow  the  patient  perfect  freedom  of  motion. 
They   are   kept   in    place   by   calf  (a),   and  thigh-bands   (b). 

The  bow  is  corrected  by  pads  (c)  and  (d)  being  placed  re- 
spectively against  the  ankle  and  knee  on  the  concave  side  of 
the  limb,  whilst  a  strap  (e)  passed  ai'ound  on  the  highest  point 
of  the  arc,  inside  of  the  outer  step,  tightly  buttoned  to  the 
steel  bar  on  the  concave  side,  gradually  compels  the  leg  to 
become  parallel   with   it. 

In  slight  cases,  or  when  the  bow  is  greatest  below  the  calf, 
an  instrument  carried  up  to  (d)  is  sufficient.  To  insure  a  good 
fit,  please,  in  ordering  the  apparatus,  to  send  the  following 
description   and    measurements. 

DiKECTIONS  FOR  Measukement  : 

1.  Patient's  name,  or  sex. 

2.  Patient's  age. 

3.  Length  from  sole  of  foot  to  ankle  joint  (c),    . 

4.  Length  from  sole  of  foot  to  knee-joint,  inner  side  {d), 

5.  Length   from   sole  of  foot  to  knee-joint,  convex  or  outer 

side  {d),  ..... 

6.  Length  from  sole  of  foot  to  upper  third  of  thigh,  inner 

side  of  leg  (5),  .... 

7.  Length  from  sole  of  foot  to  highest  point  of  the  arc  (e), 

8.  Circumference  of  calf  (a),  .... 

9.  Circumference  of  thigh  {b), 


Inches, 


Patients   will  furnish   their  own    laced   shoes,  or  send  the  following   measure- 
ments, if  they  wish  us  to  furnish  them  : 


a  Length  of  the  sole    of  the  foot, 
b  Circumference  of  ball  of  foot, 
c  Circumference  of  instep, 
d  Circumference  above  ankle, 


Inches. 

16 


Paut  IV 


36 


GEO.    TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfakre. 


Pig.  74.    Genu-valgum,  or  Knock-knee  Brace. 

Price  fur  a  pair  of  braces,  $30.  to  $40. 
1^^  Shoes,  are  charged  extra,  according  to  quality. 

The  mechanical  treatment  of  knock-knees  requires  a  proper  instrument  of  suffic- 
ient strength  and  yet  not  too  heavy  —  to  suit  the  condition  of  the  patient.  The 
one  represented  is  tlie  simplest  and  most  effectual  one  of  which  we  know.  It  con- 
sists (if  the  deformity  be  double)  of  two  lateral  stems,  with  joints  at  the  ankles,  knees 
and  hips,  extending  from  the  heels  of  strong  shoes  (a)  to  a  well-padded  pelvic  band 
\b).  The  pelvic  band  is  made  in  two  halves  in  order 
to  admit  of  adjustment — the  tightening  of  the  posterior 
buckle  everting  the  toes,  that  of  the  front  buckle  in- 
verting them. 

A  pair  of  padded  straps  secured  to  each  other  cross- 
wise act  in  the  following  manner : 

End  1  is  buttoned  to  the  thigh  stem  (c),  carried  from 
behind,  below  the  inner  condyle,  to  the  front,  termin- 
ating in  the  end  2,  which  is  buttoned  to  the  leg  stem 

The  end  8  buttons  to  (c)  is  carried  from  the  trout  to 
the  back  of  the  knee,  passing  over  the  inner  condyle, 
and  secured  to  the  button  (d).  In  this  manner  they 
support  both  the  head  of  the  tibia  and  femur,  whilst 
their  combined  direction  of  force  being  outwards  grad- 
ually corrects  the  deformity.* 

Some  surgeons  prefer  to  have  the  apparatus  without  a  joint  at  the  knee,  but  is 
there  not  a  risk  of  inducing  anchylosis  by  too  long  retention  of  the  limb  in  one  posi- 
tion ?  Besides,  the  patient  is  liable  to  fall  with  stiff  splints,  and  is  thus  in  constant 
danger  of  fracturing  the  bones  of  the  thigh  or  leg.  In  ordering  the  apparatus,  send 
the  following  description  and  measurements  for  knock-knees: 


1.  Patient's  name. 

2.  Patient's  age. 

3.  Length  from  sole  of  foot  to  ankle-joint, 

4.  Length  from  sole  of  foot  to  knee-joint, 

5.  Length  from  sole  of  foot  to  hip- joint,    . 

6.  Length  from  sole  of  foot  to  iliac  crests, 

Y.  Circumference  of  pelvis  1  inch  l)elow  iliac  crests, 

8  nirpnm-fprPTicp  of  thiyh  ate     (  A  stick  to  be  placed  on  the  out- 

O.  \^ircumieiencc  Ul   LIU^II   d,L  c,  j       ^jde ofthe  limb,  and  tliese  two 

9.  Circumference  of  leg  at  C?,  (      measures  take.,  around  both. 

10.  Ptight,  left,  both  feet. 


Inches. 


♦This  instrument  exerts  very  much  more  power,  and  answer  better  when  provided  with  padded  metal  bands  at  the  thigh  (e) 
and  calf  (/') 


Part  IV. 
67   CHATHAM    STREET,    NEW    YORK. 
Branch  Store.  107  East  28th  St.,  N.  Y. 


3Y 


If  yoii  wish  us  to  furnish  shoes,  send  the  tbllowini^  udditional  irieasureraents ; 

11.  Length  of  sole  of  foot,         ....  Inches. 

12.  Circumference  of  ball  of  foot,  .  ..." 

13.  Circumference  of  instep,  .  .  ,  " 

14.  Circumference  above  ankle,     .  .  .  .  " 


Fig.  75.    Brace  for  Correcting  Anterior  Curvature  of  the  TilDia. 

Price  of  a  brace,  for  one  leg,  $12.  to  $18. 

Price  of  a  pair  of  braces,  $24.  to  $36. 

1^^  Shoes  are  charged  extra,  according  to  quality. 

This  cut  is  a  fair  representation  of  the  instrument.  It 
consists  of  two  upright  steel  stems,  fastened  below  to  a 
shoe  and  terminating  above  in  the  calf-band.  The  deformity 
is  corrected,  either  by  passing  a  leather  bandage  around 
the  stems  and  tightly  lacing  it  in  front  over  the  arc  of 
the  curvature  (a),  or  by  a  strap  passed  over  the  arc  of  the 
curvature  and  fastened  to  a  spur  suspended  from  the  calf- 
band   behind  (c). 

The  points  of  resistance  being  in  either  case  the  heel 
of  the  shoe  (b)  and  the  posterior  trough  of  the  calf -band 
(c).  In  ordering  the  apparatus,  send  the  following  partic- 
ulars and    measurements: 

1.  Patient's  name  (or  sex). 

2.  Patient's  age. 

3.  Anterior  curvature  of  the  tibia. 

4.  Which  foot? 

5.  Length  from  sole  to  ankle-joint, 
G.  Length  from  sole  to  calf  (c),    ....  " 
7.  Circumference  of  calf,    ....." 

If  you  wish  us  to  furnish  shoes,  send  the  following  additional  measurements: 

a  Length  of  sole  of  foot,  .  .  .  .  Inches 

h  Circumference  of  ball  of  foot,        .  .  .  .        " 

G  Circumference  of  instep,  ....  " 

d  Circumference  above  ankle,  .  .  .  .        " 


Inches. 


Illustrated  Price  List  of  Clinical  Thermometers 


Page  75,  Part  I. 


Pakt  IV. 


38 


GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.'  76. 


Barwell's  Attachments  and  Artificial  Muscles  for  Ad- 
justing ClulD-feet. 

Price,  Wire  Eyes  or  Hooks,  10  cents,  each. 
Tin  Plates,  with  loops,  each,  20  cents. 
Rubber  Tubing  for  Muscles,  per  foot,  12  cents. 
Moleskin  Plaster,  per  yard,  $1.50. 

Club-foot  cubed  without  Tenotomy. — The 
ordinary  cause  of  deformity  of  the  foot  is  not 
contraction  of  certain  tendons,  but  paralysis 
of  the  muscles  connected  with  the  uncontracted 
ones.  Hence  division  of  tendons  which  retain 
their  normal  power  is  not  the  way  to  cure  the 
deformity.  The  author's  mode  of  treatment  is 
to  supply  the  place  of  the  paralyzed  muscles  by  means  of  elastic  cords.  By  a 
light  and  simple  contrivance,  these  cords  are  fastened  to  points  as  near  the 
orio-in  and  insertion  of  the  paralyzed  muscles  as  possible,  and  the  patient  is 
encouraged  to  use  his  limb,  while  at  the  same  time  constitutional  remedies  are 
prescribed,  and  local  means,  such  as  friction,  galvanism,  &c.,  are  employed.  This 
treatment  proceeds  on  the  principle  that  our  aim  ought  to  be  to  strengthen  weak 
parts,  and  not  to  weaken  strong  ones.  The  author  has  adapted  his  method  to  the 
treatment  of  knock-knees  and  crooked  shins,  and  he  has  devised  means  by  which 
spring  force  may  be  brought  to  bear  upon  these  deformities  in  such  a  way  as  to 
draw  the  bones  into  a  more  natural  position.     ( Mr.  E.  Barwell,  p.  124.) 


Fig.  77.    Apparatus  to  Evert  the 


Price  $6.  to  $10.00. 
Price  of  apparatus,  with  Pelvic  Band,  $30. 
Shoes,  are  charged  extra,  according  to  quality. 

This  apparatus  answers  well  for  in-door 
exercise,  but  patients  cannot  get  up  or  down 
stairs,  nor  walk  on  uneven  ground  without 
being  in  constant  danger  of  falling.  An 
apparatus  carried  up  to  a  pelvic  band,  made 
in  two  halves,  answers  this  purpose  better. 
This  pelvic  band  admits  of  adjustment,  the 
tightening  of  the  posterior  buckle  everts  the 
toes,  whilst  that  of  the  front  buckle  inverts 
them.  All  our  pelvic  bands  on  the  appa- 
ratus for  the  lower  extremities  are  arranged 
in  this  manner,  and  answer  the  purpose  very 
well.  (See  pelvic  bands  described  on  appa- 
ratus, Fig.  74:.) 


Part  IV. 
67   CHATHAM   STREET,    NEW-YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 

Fig.  78.    Bigg's  Apparatus  for  Bunions. 

Price  for  Apparatus,  for  one  foot,  $8.  to  $12. 
Price  for  Apparatus,  for  both  feet,  $16,  to  $24. 

This  apparatus  consists  of  a  delicate  lever  of  spring 
steel,  with  an  oval  ring  in  the  centre,  which  is  provided 
with  hinges  at  its  anterior  and  posterior  margin.  The 
apparatus  is  attached  to  the  instep  by  a  faced  band,  and 
the  toe  to  the  extremity  of  the  spring  by  a  piece  of  web- 
bing. It  affords  the  articulation  freedom  of  motion  in 
the  natural  plane,  whilst  the  malposition  of  the  toe  is 
gradually  rectified  by  constant  lateral  traction.  It  can 
be  worn  in  a  shoe. 

Directions    foe    Measukembnt. 

1.  Place  the  foot  on  paper  and  trace  with  pencil. 

2.  Circumference  of  ball  of  foot,  .         Inches. 

3.  Circumference  of  instep,       .         .  ,      .         " 


39 


79.    Apparatus  for  Over-riding  Toes. 

Price  of  Apparatus,  for  ojie  foot,  $7.  to  $15.00. 
Price  of  Apparatus,  for  both  feet,  $14  to  $30. 

The  apparatus  ibr  over-riding,  or  "ham- 
mer toes,"  consists  of  a  steel  sole  arranged 
with  slits  corresponding  to  the  spaces  be- 
tween the  toes.  A  strap  of  webbing  is 
passed  through  these  slits  and  over  the  con- 
tracted toe  (or  over  each  and  all,  as  the  case 
may  require),  and  buckled  or  tied  under  the 
sole,  tense  enough  to  straighten  the  toe. 
This  apparatus  is  kept  in  place  by  a  thin 
silk,  linen  or  cotton  covering,  laced  to  the  instep,  and  may  be  worn  in  an  ordinary 


shoe. 


DiEECTIOJSS  FOR  MEASUREMENTS. 

Place  the  foot  on  paper  and  trace  with  pencil. 
Circumference  of  ball  of  foot, 
Circumference  of  instep. 


Inches. 


Dry  Cupping  for  the  relief  of  Rheumatic  Pains,  Paralysis,  and  Atrophy  of 
Muscles.     See  Figs.  176,  177.     Janod's  Boot  and  Arm. 

Application  of  Cold  and  Heat  for  the  treatment  of  Paralytic  conditions.  See 
Fig.  182.  Hamilton's  Eevulsor.  See  Electro  Magnetic  and  Galvanic  Batteries,  &c. 
page  100,  Part  I.     G-alvanic  Belts  and  Soles,  page  104,  Part  L 


Part  IV. 
40  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F,  A.  Stohlmann.  Edward  Pfarre. 


Fig.  80.    Apparatus  for  False  Joints  in  the  Leg  or  Thigh  resul- 
ting from  Resection  or  Fracture  of  the  Bones  (Ununited) . 

Price  of  Apparatus,  for  children,  $25.  to  $35. 
Price  of  Apparatus,  for  adults,       $40.  to  $75. 
1^^  Shoes,  are  charged  extra,  according  to  quality. 

This  apparatus  consists  of  two  lateral  steel  stems, 
the  inner  one  of  these  is  carried  to  the  upper  third  of 
the  thigh,  the  outer  one  terminates  in  a  pelvic  band 
situated  an  inch  l)elow  the  iliac  crests.  Calf  and  thigh- 
bands,  made  either  of  sole-leather  nicely  moulded,  to 
the  limb,  or  of  sail-cloth,  stayed  by  a  number  of  steel 
springs,  corset-like,  and  well-padded,  connect  the  steel 
stems,  which  latter  are  provided  with  joints  for  the  an- 
kle, knee  and  hip.  The  strength  of  these  stems  must 
be  in  proportion  to  the  patient's  weight.  The  leather 
or  sail-cloth  casing  is  required  only  at  the  place  of  the 
false  joint,  the  other  band  may  be  softer  and  smaller, 
as  convenient.  If  desired,  the  knee-joint  may  be  made 
to  remain  stiff  when  walking,  and  flexible  when  sitting 
down,  by  merely  touching  a  spring  with  the  hand  out- 
side the  clothing. 

Directions  foe  Measurements. 

1.  Patient's  name. 

2.  Patient's  weight. 

3.  Right  or  left  leg. 

4.  Position  of  false  joint.  Inches. 

5.  Length  from  sole  to  ankle,    .  .  .  .  " 

6.  Length  from  sole  to  knee,  .  .  .  .       " 

7.  Length  from  sole  to  crutch,  (perineum),        .  .  " 

8.  Length  from  sole  to  trochanter  major,    ..." 

9.  Length  from  sole  to  iliac  crest,  ..." 
10.  Circumference  at 


1st   buckle,         .         Indies. 

2d         "  .         .         » 
3d         "     .         .  " 

4th        "  .         .         " 
5th        "     .         .  " 

6th       "  .         .         " 
11.    Circumference  of  pelvis  one  inch  below  iliac  crests, 


7th  bu 

ckle. 

8th 

9th 

, 

10th 

11th 

12th 

Inches. 


If  we  are  to  furnish  shoes,  the  following  additional  measurements  are  required; 


Part  IV. 

67  CHATHAM  STREET,  NEW-YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


41 


a  Length  of  the  sole  of  foot,    . 
h  Circumference  of  the  ball  of  foot, 
c  Circumference  of  instep, 
d  Circumference  of  ankle, 


Inches. 


Fig.  80b.    Hooper's  Knee  Extension  Apparatus. 

Price,  $35.00. 
It  consists  of  a  band  encircling  the  thigh,  of  an- 
other for  the  calf,  and  of  one  above  the  ankle.  These 
are  fastened  to  two  lateral  shafts  provided  with  joints 
at  the  knee.  Two  semicircular  brass  tiibes,  fastened 
to  the  loM^er  calf  shafts,  contain  each  a  spiral  spring, 
acting  on  bows  fastened  to  the  thigh  shaft,  thus  exert- 
ino-  constant  elastic  extension,  which  is  sure  to  over- 

to 

come  muscular  contraction  soon. 


Directions  foe  Measurement 
Circumference  above  knee, 
"  at  knee, 

"  below  knee, 

"  above  ankle. 

Length  from  above  ankle  to  knee, 

' '  knee  to  upper  third  of  thigh. 


Inches. 


Fig.  81.    Davis'  Hip-Joint  Splint. 

Price  of  Splint,  $15.00. 
Price  of  Adhesive  Moleskin  Plaster,  per  yard,  $1.50. 

Davis'  Portable  Extension  Apparatus  allows  mobihtj  of  the 
joint,  while  it  diminishes  friction  of  its  surfaces.  It  is  used  in  at- 
tempting to  re-establish  the  natural  functions  of  the  part.  The 
apparatus  is  to  be  worn  when  the  acute  stage  is  passed.  Exten- 
sion is  made  from  the  foot,  counter-extension  from  a  two-fold  peri- 
neal band,  the  outer  one  of  which  is  inelastic,  the  other  composed 
of  elastic  webbing,  so  as  to  allow  extension  to  a  certain  point  only, 
when  the  joint  can  be  fixed.  It  is  applied  to  the  limb  by  means  of 
adhesive  plaster  strips,  secured  with  roller  bandages.  It  is  applic- 
able to  either  right  or  left  leg. 

Directions  for  Measurement. 
Length  from  the  ankle  to  iliac  crest,  •  Inches. 

This  is-  the  only  measure  needed,  as  the  splint  admits  of  con- 
siderable adjustment  of  length. 


pAltT    IV. 


^^  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  ^^^.....^  Edward  Pfarre. 

Fig.  82.  Dr.  L.  A.  Sayre's  Apparatus  for  the  Treatment  of  Hip- 
joint  Disease. 

Price  of  splint,  small  size,  $15.00. 
Price  of  splint,  medium  size,  $16.00. 
Price  of  splint,  large  size,  $18.00. 

This  apparatus  consists  of  two  portions,  the  upper, 
made  of  corrugated  steel,  attached  by  means  of  a  univer- 
sal joint  to  a  pad  of  proper  size  (d)  fitting  on  the  dorsum 
below  the  crest  of  the  ilium,  and  holding  in  place  a  peri- 
neal band  (e)  adjustable  by  strong -webbing  and  buckles  {hh). 

The  lower  portion  (/),  is  simply  a  ratched  bar,  sliding 
"within  the  first.  Its  inferior  extremity  is  easily  adjusted 
by  means  of  a  single  screw  to  either  side  of  two  semi-cir- 
cular bands  {aa),  embracing  the  thigh  just  above  the  knee, 
making  the  apparatus  answer  for  both  limbs.  The  cut 
representing  the  same  arranged  for  the  left  leg. 

Extension  is  made  by  working  the  splint  with  key  /. 

Directions  foe  Measurement. 

1.  Length  from  trochanter  major  to  knee-joint.    Inches. 

2.  Circumference  of  thigh  above  knee,     -         -         " 


G.  TIEMANN &CD. 


The  Application  of  the  Splint, 

Is  as  simple  as  its  construction.  Take  strong  adhesive  plastBr,  spread  on  twilled 
muslin,  cut  two  fan-shaped  pieces  (Fig.  83),  one  large  enough  to  reach  from 
the  perineum  to  within  two  or  three  inches  of  the  condyle  of  the 
femur,  on  the  inner  side  of  the  thigh,  the  other  from  the  trochanter 
major  to  a  point  directly  opposite  the  end  of  the  inner  plaster. 
Sew  on  the  narrow  end  of  each  (Fig.  83),  a,  one  of  the  webbings, 
represented  in  Fig.  82,  aa  (not  on  the  sticky  side).  Apply  to  their 
respective  places,  and  after  pressing  them  with  the  warm  hand,  to 
obtain  a  firm  adhesion,  secure  them  further  by  a  well-adjusted  roll- 
er. The  instrument  contracted,  is  now  laid  over  the  thigh,  the  web- 
bing (Fig.  83),  «,  firmly  fastened  over  the  rollers  to  the  buckles  (Fig. 
82),  aa,  and  the  remaining  one  around  the  thigh.  The  perineal  band  is  now  adjus- 
ted, rather  firm,  and  the  instrument  extended  with  the  key,  just  enough  to  make 
the  patient  comfortable,  and  then  locked  by  pulling  the  slide  down  over  the  spring 
■  (Fig.  82),  c. 

In  order  to  prevent  the  limb  from  swelling  below  the  bandage,  Dr.  Sayre  recom- 
mends the  use  of  an  elastic  stocking  or  knee-cap. 

Price  of  Elastic  Hose,  see  fig.  101. 
Price  of  Moleskin  Adhesive  Plaster,  per  yard,  $  1.50. 


Part  TV. 

67   CHATHAM    STREET,   NEW- YORK.  43 

Branch  Store,  107  ICast  28th  St.,   N.'  Y. 


Figs.  84a.  841d.   Hamilton's  Wire  Qanze  Splint  for  Hip-Joint. 


Fig.  84a. 


Price,  $15.00. 


Fig.  Sih. 


The  above  splint  consists  of  an  iron  wire  frame,  moulded  to  the  outside  or  back 
of  the  pelvis  and  thigh,  covered  Vv^ith  wire  gauze.  It  is  kept  in  place  by  a  pelvic 
and  a  broad  thigh-band,  and  secured  with  buckles.  Dr.  Hamilton  advises  its  use 
whenever  it  is  desirable  to  secure  immobility  of  the  joint,  together  with  exercise 
in  the  open  air. 

DiEECTIONS    FOB     MEASUREMENT: 

1.  Name  of  patient. 

2.  Age  of  patient. 

3.  Weight  of  patient  (estimated). 

4.  Right  or  left  side. 

5.  Crest  of  ilium  to  the  condyles  of  the  femur, 

6.  Circumference  of  the  pelvis  at  iliac  crest,    . 

7.  Circumference  at  the  nates, 

8.  Circumference  of  the  upper  part  of  the  thigh, 

9.  Circumference  of  the  thigh  above  the  knee,     . 


Inches. 


[J^°°  Andrew's  Morbus  Coxarius  Splint,  Fig.  191. 


M 


Part  IV. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


Pig.  85.    Bauer's  Hip-Joint  Apparatus. 

Price  $25.00. 
1^^  Slices  are  cliarged  extra,  according  to  quality. 

This  apparatus  affords  extension  in  a  vertical  line,  and  com- 
plete immobility  of  the  joint.  By  being  fastened  to  the  shoe 
it  utilizes  the  foot  for  extension,  the  tuber  ischii  for  counter- 
extension  and  the  key  rack  and  pinion  for  a  moving  power. 
[No   adhesive    strips    are  used    with    this   apparatus. 

Directions  foe  Measurement: 

1.  Patient's  name. 

2.  Patient's  age. 

3.  Patient's  weight  (estimated). 

4.  Eight  or  left  leg.  Inches. 

5.  Length  from  the  sole  to  the  tuber  ischii  (sound  leg)  " 

6.  Length  from  the  sole  to  the  tuber  ischii  (diseased  leg)  " 
T.  Circumference  of  calf,  .  .  •.  " 
8.  Circumference  of  thigh,     .              .              .              .       " 


Send  a  shoe  or  the  following  additional  measures  if  you   wish  us 
to  furnish  one  : 


a  Length  of  foot, 
h  Circumference  of  ball  of  foot, 
c  Circumference  of  instep, 
d  Circumference  above  ankle. 


Inches 


Fig.  86,    Bauer's  Wire  Breeches. 

Price  of  Wire  Breeches,  small  size,  $15.00. 
Price  of  Wire  Breeches,  medium  size,  $18.00. 
Price  of    Wire  Breeches,  large  size,  $25.00. 

Bauer's  Wire  Breeches  are  used  after  excision  of  the  head  and  neck  of  the 
femur  in  necrosis,  after  the  removal  of  shattered  bone,  or  balls  in  gun-shot  frac- 
ture, and  in  the  treatment  of  chronic  inflammation  of  the  hip-joint  when  perfect 
rest  and  position  of  the  affected  parts  ai-e  desired.  It  consists  of  a  heavy  wire 
frame  covered  with  wire  gauze  to  fit  the  posterior  half  of  the  body  from  the 
axillary  cavity  to  the  sole  of  the  foot. 

Proper  sized  openings  may  be  cut  through  the  gauze  to  admit  of  dressing 
any  wounds,  without  being  obliged  to  remove  the  splints.  There  is  also  an  open- 
ing for  the  anus,  so  that  the  patient  can  pass  his  faeces  by  having  the  lower 
end  of  the  apparatus  raised  and  a  bed-pan  placed  under  it.  The  apparatus  may 
be  lined  with  cotton  batting,  and   the  patient   securely  fastened  with   adhesive 


Pakt  IV. 

67   CHATHAM    STREET,    NEW-YORK.  45 

Branch  Store,  107  East  28Tit  St.,  N.  Y. 


plaster  strips  and  roller-bandages.  After  the  feet  arc 
secured  to  the  foot-board,  extension  can  be  made  by 
turning  the  thumb-screws 
from  the  healthy  extremity. 


counter-extension   being 


Directions  fok  Meabueement, 

1.  Patient's  name. 

2.  Patient's  age. 

3.  Patient's  weight. 

4.  Length  from  sole  of  foot  to  axilla, 
Length  from  sole  of  foot  to  perineum, 
Circumference  of  calf. 
Circumference  of  knee, 
Circumference  of  thigh, , 
Circumference  at  the  nates, 

10.  Circumference  of  pelvis  at  iliac  crests, 

11.  Circumference  of  waist, 

12.  Circumference  of  chest  under  axillae. 


Inches. 


5. 
6. 

Y. 
8. 
9. 


Fig.  87.    Taylor's  Hip-Joint  Splint. 

Price  of  Taylor's  Hip-Joint  Splint,  small  size,  $25.  to 
Price  of  Taylor's  Hip-Joint  Splint,  large  size,  $35.  to  $40. 

This  splint  extends  from  the  sole  of  the  foot  to  the  crest  of  the  ilium,  at  which 
point  it  is  connected  to  a  pelvic  band  by  means  of  a  joint  allowing  flexioa  and  exten- 
sion, abduction  and  adduction:  which  latter  motion  is  regulated  by  means  of  a 
thumb-screw.  Extension  is  made  by  means  of  a  rack  and  pinion  rod,  sliding  within 
a  steel  tube,  moved  by  a  key,  and  kept  in  position  by  a  spring  catching  the  teeth  of 
the  rack.  Counter-extension  is  made  by  means  of  two  perineal  pads  fastened  to  the 
pelvic  band  with  straps  and  buckles.  At  the  knee-joint  is  a  movable  cross-piece  for 
attaching  a  leather  cap  to  steady  and  support  the  knee.  At  the  bottom  of  the  instru- 
ment is  a  foot-piece  with  a  leather  sole  attached,  to  prevent  jar  in  walking.  A 
leather  strap,  passing  under  the  foot,  through  apertures  in  the  foot-piece,  turns  up  an 
end  on  each  side  of  the  ankle,  and  fastens  to  buckles  in  adhesive  strips,  Avhich  prepare 
as  follows : 

Cut  two  pieces  of  plaster,  to  reach  from  the  waist  to  the  foot,  from  three  to  five 
inches  wide  at  the  top,  and  from  1  to  1^  inches  at  the  lower  end,  and  divide  tops 
into  five  tails,  cut  a  piece  about  live  inches  long,  from  each  centre  tail,  and  add  it  to 
the  lower  ends  of  the  plaster  to  strengthen  them,  then  add  two  or  more  similar 
pieces  at  the  same  place  and  attach  a  buckle.  Apply  the  plasters  against  the  lateral 
aspects  of  the  leg,  beginning,  about  two  inches  above  the  internal  and  external 
maleolii  with  the  ends  having  the  buckles  attached.  The  centre  tails  reaching  the 
entire  length  of  the  leg  and  thigh,  to  the  perineum  and  trochanter  respectively  ; 


Part  IV. 
46  GEO.   TIEMANN   &    CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

then  wind  the  lower  ends  spirally  around  the  leg  up  to  the  pelvis  and  afterwards 
FfG.  87.  the  other  two  tails,  which  first  cut  down  to  just  above 

the  knee. 

This  involves  the  limb  in  a  complete  network  of  adhes- 
ive strips,  the  leg  having  about  one-fourth,  the  thigh  three- 
fourths  thej'oof,  which  is  found  to  be  the  proportion  to 
pi'otect  the  leg  and  knee  equally  from  compression  or 
strain. 

A  few  turns  of  roller  bandage  are  then  made  around  the 
ankle,  just  under  the  lower  ends  of  the  straps,  to  protect 
the  flesh  under  the  buckles,  and  then  continued  over  the 
strips  on  the  whole  limb. 

The  patient  should  be  laid  on  his  back,  and  great  care 
ought  to  be  taken  that  the  pelvis  is  not  inclined  forward 
by  contractions  of  the  flexor  muscles;  should  this  be 
the  case  :  elevate  the  leg  until  the  lumbar  vertebrae 
come  near  the  couch  and  the  spinal  column  assumes  its 
normal  shape.  The  instrument  is  then  applied.  The 
pelvic-band  ought  to  be  loose  enough  to  allow  the  pelvis 
to  move  freely  in  it.  The  anterior  superior  spine  of  the 
ilium  ought  to  be  above  the  pelvic-band. 

In  applying  the  ankle  straps  leave  a  little  space  be- 
tween the  foot  and  the  footpiece  so  that  in  standing^or 
walking  the  weight  of  the  patient  does  not  rest  on  the 
leg,  but  on  the  instrument. 
The  perineal  straps  must  be  so  adjusted  that  the  patient  sets  flrmly  and  comfort- 
ably upon  them. 

The  foot  is  dressed  with  a  shoe  in  the  ordinary  manner.  When  all  is  adjusted 
the  patient  still  lying  on  his  back,  extension  is  made  by  turning  the  key.  As  this 
arrangement,  for  supporting  the  patient  on  the  instrument,  increases  the  length  of 
the  aS'ected  limb,  the  sound  leg  should  have  the  same  amount,  or  a  little  more,  add- 
ed to  its  length  by  increasing  the  thickness  of  the  sole  of  the  shoe. 

1.  Name  of  patient. 

2.  Age  of  patient. 

3.  AVeight  of  patient. 

4.  Right  or  left  leg. 

5.  Length  from  sole  to  crest  of  ilium. 

6.  Circumference  of  pelvis  at  iliac  crests. 


Price  of  Adhesive  Plaster 

Price  of  Moleskin  Adhesive  Plaster  (spread  on  twilled  goods) 

Price  of  Poller  Bandaffe 


per  yard.  $  .75 

"         "    $1.50 

per  pound  $1.50 


Paut  IV. 
67   CHATHAM   STREET,    NEW-YORK. 
Branch  Store,  107  East  28'jh  St.,  N.  Y. 


47 


Pig.  88.    WashlDurn's  Hip-joint  Splint. 

Price,  $7.00. 

This  is  a  simple,  straight  bar  of  steel,  jointed  to  a  pel- 
vic band.  It  is  intended  for  poor  patients,  and  has  neither 
racks,  pinions,  nor  screws.  Extension  is  made,  after  fas- 
tening the  lower  end  with  adhesive  strips,  simply  by  the 
degree  of  tensity  to  which  the  perineal  straps  are  adjusted. 
A  knee-cap  assists  in  keeping  the  splint  in  place. 


Directions  foe  Measukements  ; 

1.  Length  from  ankle  to  dorsum  ilii, 

2.  Circumference  of  pelvis. 


Inches. 


Fig.  89. 
J.  C.  Hutchison's  Hip-joint  Apparatus. 

Price  of  Apparatus,  small  size,  $  25. 

Price  of  Apparatus,  large  size,  $  35. 

Pine  Unished  Apparatus,  small  size,  $30. 
Fine  finished  Apparatus,  large  size,  $  40. 
Shoes  are  charged  extra,  according  to  quality. 

This  apparatus  is  portable,  and,  being  fastened  to  a  shoe, 
needs  no  adhesive  strips.  Two  rods  of  steel  extend  from 
the  foot  to  the  upper  third  of  the  thigh  and  are  secured 
to  the  leg  with  calf  and  thigh-bands.  The  outside  rod, 
longer  than  the  other  one,  is  ratched,  and  slides  in  a  steel 
tube  which  is  hinged  by  a  ball  and  socket  joint  to  a  pel- 
vic band.  To  this  pelvic  band  is  attached  a  perineal  strap 
for  counter-extension.  Extension  is  made  by  working 
the  splint  with  a  key.  The  splint  is  j^rovided  with  joints 
for  the  ankle  and  knee,  the  later  one  is  adjustable  to  any 
degree  of  flexion  and  extension,  and  may  bs  fixed  at  any 
point  or  its  motion  limited,  by  an  arrangmentof  a  screw 
and  two  Buts. 

Directions  for  Measurements: 

1.  Name  of  patient. 

2.  Age  of  patient. 

3.  Weight  of  patient. 


{J 


48 


Pai.t  IV. 

GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


4.  Eight  or  left  leg. 

5.  Length  from  sole  of  foot  to  ankle-joint, 

6.  Length  from  sole  of  foot  to  knee-joint, 

7.  Length  from  sola  of  foot  to  trochanter  major, 

8.  Len<;tli  from  sole  of  foot  to  crest  of  ilium,     , 

9.  Circumference  of  calf,     . 

10.  Circumference  of  thigh, 

11.  Circumference  of  pelvis, 


Inches. 


If  yon  wish  us  to  furnish  shoes,  send  the  followinoj  additional  measurements! 


a  Length  of  foot, 

h  Circumference  of  ball  of  foot, 

c  Circumference  of  instep, 

d  Circumference  of  ankle,    . 


Inches. 


Fig.  90.    Long  Anchylosis  Apparatus. 

Price,  $35.00.  to  $40.00. 
1^^  Shoes,  are  charged  extra,  according  to  quality. 

For  overcoming  muscular  contractions  of  the  knee-joint,  and  for  favoring  the 
re-establishment  of  motion  in  cases  of  false  anchylosis. 

It   consists    of   metal    troughs    1,    2,    3,    for  the    reception    of    the   thigh    and 
leg,  united  by    two  lateral  shafts,   provided  with  joints   at  the   knee  and  ankle 

and  attached  to  a  shoe.  A  knee-cap,  adjusted  to  but- 
tons on  the  lateral  shafts  with  strong  elastic  straps, 
exerts  pressure  on  the  patella,  whilst  the  instrument 
may  be  flexed  and  extended  by  means  of  a  key  {g) 
and  rachet-joint,  opposite  the  knee. 

It  is  an  admirable  apparatus  for  the  gradual  exten- 
sion of  contracted  muscles  and  for  favoring  the  re-es- 
tablishment of  motion  in  cases  of  false  anchylosis,  and 
of  remaining  stifEness  and  dryness  after  treatment  of 
joint  disease.  By  persistent  and  daily  passive  exercise 
a  flexible  and  useful  joint  may  be  restored  without 
confining  the  patient  to  bed  or  room.  The  mechanism 
is  powerful,  and  may  be  moved  swiftly,  adapting  it  to 
the  forcible  breaking  up  of  adhesions  as  well,  should 
the  surgeon  prefer  this  to  gradual  extension.  If  desired 
the  instrument  can  be  made  to  detach  from  the  shoe,  for  the  greater  comfort  of 
patients  who  are  obliged  to  wear  the  apparatus  continually,  but  wishing  to  remove 
the  shoe  at  night.  It  is  also  the  best  guard  against  malposition,  for  should  it 
be  deemed  impossible  to  effect  a  cure  the  limb  may  be  placed  in  a  situation  (to 
anchylose)  most  conducive  to  its  future  usefulness. 


Pakt  IV. 


67   CHATHAM    STREET,  NEW-YORK. 

Branch  Store.  107  East  28th  St.,  N.  Y. 


49 


DiKEOTlONS    FOE    MEASUREMENTS: 

1.  Patient's  name. 

2.  Anchylosis  apparatus,  Fig.  90. 

3.  Right  or  left  leg? 


4.    Patient's  age. 


Inches. 


5.  Length  from  sole  of  foot  to  ankle-joint  (a),    .  .             " 

6.  Length  from  sole  of  foot  to  knee-joint  (t^),  .             .        ' 

7.  Length  from  sole  of  foot  to  upper  third  of  thigh  (/),  " 

8.  Circumference  above  ankle  (J),  ..." 

9.  Circumference  of  calf  {c\  .             .             .             .       " 

10.  Circumference  of  knee  (<i),    .  .             .             .             " 

11.  Circumference  above  knee  (e),  .             .             .       " 

12.  Circumference  of  thigh  (/),  ..." 

If  yon  wish  us  to  furnish  shoes,  send  the  following  additional  measurements : 

a  Length  of  sole  of  foot,             .             .             .             .         Inches, 

h  Circumference  of  ball  of  foot,    .               .             .             .       " 

G  Circumference  of  instep,          .             .             .             .             " 

d  Circumference  above  ankle,           .             .             .             .       " 


Pig.  91.    Short  Anchylosis  Apparatus  for  Knee-joint. 


Price, 


!5.  to  30. 

This  is  the  same  in  principal  as  Fig. 
90,  but  consists  of  a  thigh  and  a  calf 
band  only.  It  does  not  keep  in  place 
as  well  as  the  one  described  above,  but 
answers  well  in  slight  cases. 


Directions  for  Measurement: 


1.  Apparatus  Fig.  91. 

2.  Circumference  of  calf, 

3.  Circumference  of  knee, 

4.  Circumference  above  knee, 

5.  Circumference  of  thigh, 

6.  Eight  or  left  leg  ? 


INCHES . 


Andrew's  Brace  for  Inflamed  Knee-joint,  Fig.  187. 

Andrew's  Brace  for  Inflamed  Knee-joint  when  in  the  bent  position.  Fig.  188. 

Andrew's  Brace  for  Straightening  Bent  Knees,  Fig.  190. 


Part  IV. 


50 


GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  92.    Anchylosis  Apparatus  for  the  Knee-joint. 


With  Screw.     Price,  $18  to  $24. 

This  is  a  simpler  and  lower-priced  apparatus,  than 
those  represented  in  fig.  90  and  91 ;  but  not  so  elegant 
in  form,  nor  so  comfortable  to  wear.  The  cut  explains 
itself. 


DiEBCTIONS    FOR    MEASUREMENT  : 


Patient's  name. 

Anchylosis  apparatus  Fig.  92. 

Right  or  left  leg? 

Patient's  age 

Length  from  above  ankle  to  knee-joint. 

From  knee-joint  to  upper  third  of  thigh. 
Circumference  above  ankle, 
Circumference  of  the  calf, 
9.    Circumference  of  the  knee, 

10.  Circumference  above  the  knee, 

11.  Circumference  of  the  thigh, 


1. 

2. 
3. 
4. 

5. 
6. 

7. 
8. 


THE  VOLTAIC  ARMADILLO. 


$1  per  pair, 


00.    glper  pair 


Ladies'  Sole 


Thigh  Band 


Gent's  Sole 


An  Electro-Magnetic  remedy  for  nervous  diseases.  No  shock  or  unpleasant  sensa- 
tion experienced,  but  a  constant  electric  current,  giving  to  the  nerves  a  gentle 
stimulus,  reviving  circulation,  removing  congestion,  and  with  it  pain  and  soreness. 
Used  for  neuralgia,  rheumatism,  sciatica,  lumbago,  w^eak-back,  cold-feet,  chilblains, 
nervousness,  general-debility,  &c.,  &c.,  (fee.  The  Armadillo  is  flexible  and  easily 
applied  and  can  be  worn  with  safety  at  any  time. 


Pabt  IV. 


67   CHATHAM    STREET,    NEW   YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


61 


Pig.  93.   Sayre's  Knee-Joint  Apparatus. 

Price,    $  20.00. 

It  consists  of  two  bands  or  collars  of  sheet-steel,  about  an  inch 
wide,  embracing  the  limb — the  one  above  the  ankle,  the  other  at 
the  upper  third  of  the  thigh  admitting  of  adjustment  by  means  of 
a  hinge  and  slide,  and  may  be  locked,  at  any  given  point,  by  turn- 
ing the  nut  with  the  key  fitted  for  this  purpose.  They  are  con- 
nected on  either  side  by  an  extension  rod,  of  the  rack  and  pinion 
(or  screw)  construction. 

To  apply  this  instrument,  adhesive  plaster  is  required,  spread 
on  twilled  goods,  and  cut  in  strips  one  inch  wide  and  long  enough 
to  reach  from  just  below  the  knee  to  near  the  ankle,  and  fi'om  the 

knee  upwards  several  inches,  as  here  represented.    (Fig.  94.) 

These  plasters  are  secured  to  within  an  inch  of  their  extremities   by  a  snugly 

adjusted  roller,  seen  in  the  cut  (Fig.  95.)     The  instrument  is  then  placed  on  the  limb, 

the  collars  fastened  sufficiently  to  be  comfortable,  and  the  loose  ends  of  the  adhesive 

plasters  turned  over  and  secured  by  a  roller. 


Fig.  94. 


Fig.  95. 


Fig.  96. 


Fig.  97. 


The  connecting  rods  are  extended  simultaneously,  by  the  keys  of  the  rack  and 
pinion  construction,  or  by  turning  the  screws  if  made  the  latter  way,  the  articula- 
ting surfaces  of  the  tibia  and  femur  separated  from  each  other,  and  the  limb  brought 
nearly  straight  as  in  Figs.  96,  97,  until  pressure  can  be  made  on  the  foot  without  pain. 
A  roller  is  applied  over  the  foot  and  leg  up  to  the  instrument,  to  prevent  oedema. 
A  large  coarse  sponge  is  placed  in  the  popliteal  space,  and  other  pieces  of  sponge 
completely  surround  the  knee-joint ;  these  are  secured  by  a  tight  roller  and  then 
saturated  with  cold  water.  The  cold  water  not  only  reduces  the  inflammation  of 
the  joint,  but,  by  increasing  the  pressure  of  the  sponge,  promotes  the  absorption  of 
the  deposits  that  generally  occur  around  and  in  a  joint  in  this  condition  of  chronic 
inflammation. 


Part  IV. 


52 


GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


The  necessary  measurements  in  ordering  the  above  are  : 

1.  Circumference  of  thigh, 

2.  Circumference  of  leg  above  ankle, 

3.  Circumference  of  knee, 

4.  Length  from  above  ankle  lo  upper  third  of  thigh, 


Inches. 


Fig.  99. 


Fig.  100. 


Fig.  98.   Sayre's  Ankle-Joint  Apparatus. 

Price,    $22.00. 

This  instrument  consists  of  a  iirm  steel  plate,  made  to  fit 
the  sole  of  the  foot;  at  the  heel  is  a  hinge-joint,  and  attached 
to  it  a  rod,  slightly  curved  at  the  bottom,  and  extending  up 
the  back  of  the  leg  to  near  the  knee.  Over  the  instep  is  an 
arch,  like  the  top  of  a  stirrup,  with  a  hinge-joint  at  its 
summit  from  which  springs  another  rod,  which  runs  in  front 
of  the  leg,  of  equal  length  with  the  one  behind.  These  rods 
are  made  with  a  male  and  female  screw,  or  ratchet  and  cog 
for  extension,  and  connected  at  the  top  by  a  hrm  bai.d  or 
collar  of  sheet-steel,  admitting  of  adjustment  by  a  slide,  and 
may  be  locked  by  turning  the  nut  with  the  key.  The  instrument 
is  applied  with  firm  adhesive  plaster,  cut  in  strips  about  one  inch 
wide,  and  long  enough  to  reach  from  the  ankle  to  near  the  tubercle 
of  the  tibia,  and  placed  all  around  the  limb,  Fig.  99  ;  the  plaster  is 
secured  in  its  position,  to  within  an  inch  of  its  upper  extremity,  by 
a  well-adjusted  roller. 

The  instrument  is  fixed,  the  foot  firmly  secured  by  a  number 
of  strips  of  adhesive  plaster,  and  a  roller  carefully  applied  over  this 
plaster  to  prevent  its  slipping,  the  ends  of  the  plaster  at  the  top  of 
the  instrument  are  turned  over  the  collar,  (which  has  been  previous- 
ly locked,  just  tight  enough  to  be  comfortable),  and  secured  by  a 
turn  or  two  of  the  bandage  as  represented  above.     Fig.   100. 


Directions    for    Measurement  : 

1.  Length  of  sole  of  foot, 

2.  Height  from  sole  to  two  inches  below  knee, 

3.  Circumference  of  calf, 

4.  Circumference  of  instep, 


Inches. 


Andrew's  Apparatus  for  Inflamed  Ankle  Joint,  see  Fig.  186. 


Part  IV. 

67  CHATHAM   STREET,    NEW-YORK.  53 

Branch  Store,  107  East  28'jh  St.,  N.  Y, 

Fig.  101.    Silk  and  Cotton  Elastic  Hose. 


DiKECTIONS    FOR    MEASUREMENT  : 

Indicate  the  measure  around  the  lirao  in  inches  opposite  the 
dotted  lines  on  the  cut.  For  Stocking  to  cover  the  entire 
limb,  measure  at  A  B  C  E  G  H.  For  Stocking  to  reach  G, 
measure  at  A  B  C  E  G.  For  Stocking  to  reach  D,  measure 
A  B  C  D.  For  Knee-cap,  measure  at  D  E  F.  For  Anklet, 
measure  at  A  B. 

We  keep  constantly  in  store  a  large  assortment  of  best  qual- 
ities of  Silk  and  Cotton  Elastic  Hose,  for  the  Treatment  of 
Varicose  Veins,  Sprains,  Weak  Joints,  &c. 

Elastic  Abdominal  Belts,  Stockings,  Wristlets  and  Armlets, 
made  to  order. 


Silk  Elastic  Leg  and  Thigh  Hose  to  H,  best,  each, 

Silk  Elastic  Knee  Hose  to  G,  best,  each. 

Silk  Elastic  three-quarter  Hose  to  D,  best,  each, 

Fine  Silk  Elastic  Knee  Hose  to  G,  each, 

Fine  Silk  Elastic  three-quarters  Hose  to  D,  each. 

Cotton  Elastic  Leg  and  Thigh  Hose  to  H,  each, 

Cotton  Elastic  Knee  Hose  to  G,  each. 

Cotton  Elastic  three-quarters  Hose  to  D,  each, 

Knee-cap  Best  Silk  Elastic,  each, 

Knee-cap  Fine  Silk  Elastic,  each, 

Knee-cap  Cotton  Elastic,  each, 

Anklets,  each,        ..... 

Wristlets  and  Armlets  made  to  order. 


.  $11.00 

8.00 

.       4.50 

6.00 

.       3.50 

5.50 

.       3.50 

2.00 

.       3.50 

3.00 

.       1.T5 

1.75  to  3.00 

Silk  Elastic  Abdominal  Belt,    ......  $12.00 

Do.             Do.       Do.     with  Stays,              ....  14.00 

Cotton  Elastic  Abdominal  Belt,          .....  8.00 

Abdominal  Smpporters  of  various  patterns,  see  page  17. 

1^^  The  order  for  an  Abdominal  Supporter  should  be  accompanied  with  the 
measure  around  the  pelvis. 

A  lady  will  wait  on  lady  customers,  at  the  branch  store,  107  East  28th  Street. 


Part  IV . 

54  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


FRACTURE   APPARATUS. 


For  Fracture  of  the  Femur. 


Fig.  102.    ITathan  H.  Smith's  Anterior  Splint  and  Suspending 
Apparatus  for  Fractures  of  the  Leg  and  Thigh. 


This  splint  is  simply  a  frame  composed  of  stout  wire  wliich,  being  suspended, 
allows  the  liml),  fastened  to  it  by  rollers,  to  be  suspended  in  torn.  The  rollers  pass- 
ing around  both  limb  and  splint,  from  the  foot  to  the  groin.  The  splint  should 
extend  from  above  the  anterior  superior  spinous  process  of  the  ilium  to  a  point 
beyond  the  toes.  The  lateral  bars  of  the  splint  are  separated  about  three  inches. 
One  of  the  spring  double  hooks  fastened  to  the  short  cord  for  suspension  ought  to 
be  nearly  over  the  seat  of  fracture,  the  other  a  little  above  the  middle  of  the  leg. 


ROHLAND'S  STYPTIC  COTTON. 

Price,  per  box,  35  cents. 

Promptly  arrests  bleeding,  either  active  or  passive  hemorrhages.  Apply  a  thin 
layer  of  this  cotton  with  gentle  pressure  to  the  surface  of  the  bleeding  wound.  If 
desired,  it  can  be  easily  removed  a  few  minutes  after  application,  although  the 
healing  process  will  be  accelerated  by  leaving  it  on.     It  should  be  kept  dry. 


PAIIT  IV. 

67   CHATHAM    STREET,    NEW-YORK.  55 

Branch  Store.  107  East  28th  St.,  N.  Y. 

Fig.  103,    ITathan  R.  Smith's  Anterior  Splint  and  Byrd's  Wire- 
Gauze  Supporter. 

Price,  $5.00. 
Fig.  103a. 


B  B  B. represents  the  wire-gauze  applied.  Dr.  Smith's  anterior  splint  is  clearly 
seen  above  at  A  A  A.  The  cords  and  pulleys  are  sufficiently  well  defined  to  be 
readily  recognized  at  C. 


Fig.  103b. 


Extract  from  a  paper  read  before  the  Medico-Chirurgical  Society  of  Maryland  at  its  Annual  Meeting  in 

Baltimore,  April  3d,  1872. 

By  Harvey  L.  Byed,  M.  D. 
"After  taking  proper  dimensions  of  the  thigh,  popliteal  region,  leg  and  heel,  the 
gauze  is  cut  so  as  to  adapt  it  to  the  posterior  and  lateral  surface  of  the  limb,  and  then 
bound  around  with  stout  cloth  (thin,  fine  leather  has  heen  found  from  experience  to 
answer  a  better  purpose),  with  buckles  and  straps  attached  at  suitable  intervals. 
The  limb  is  then  made  nude  by  the  removal  of  the  bandage  that  sustains  the  splint, 
and  the  wire  gauze,  as  above  prepared,  placed  in  position  under  it.  When  this  is 
accomplished,  the  "anterior  splint,"  receiving  proper  shape,  is  placed  over  the  front 
of  the  extremity,  the  wire-gauze  secured  hy  the  buckles  and  straps  to  its  longitudi 
nal  bars,  and  the  hooks  for  the  suspensory  apparatus  above  having  heen  passed  into 


Part  IV. 
56  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

the  rings  or  ejelets  of  the  transverse  bars  of  the  'splints,'  tlie  limb  is  swung  from  the 
bed.  The  greatest  comfort  is  immediately  experienced  by  the  patient,  and  after 
adjusting  the  lengths  of  the  straps  so  as  to  secure  evenness  and  accuracy  of  adaptation 
of  the  wire-gauze  to  the  entire  posterior  and  lateral  surface  of  the  limb,  the  patient 
is  left  for  the  day. 

"The  whole  manipulation,  from  the  time  the  wire-gauze  is  ready  for  application 
nutil  the  procedure  is  accomplished,  does  not  occupy  as  niuch  time  as  has  been  con- 
sumed in  writing  this  account  of  it.  If  the  foregoing  details  are  sufficiently  clear 
of  compreliension,  it  will  be  observed  that  the  important  objects  of  extension  and 
counter-extension  are  as  fully  accomplished  as  by  any  other  means,  while  the  great 
relief  from  all  anterior  compression  of  muscles  and  the  free  exposure  of  the  surface 
of  the  limb  to  the  atmosphere,  not  only  anteriorly,  but  latterly  and  posteriorly  also, 
is  sufficient  to  impart  the  greatest  comfort.  But  the  scientific  surgeon  will  readily 
perceive  other,  and  if  possible  greater  advantages,  which  may  be  obtained  from  wire- 
gauze  in  the  management  of  fractures  and  wounds  of  the  lower  extremities  ;  or  per- 
haps we  should  rather  say  great  additional  advantages,  for  it  is  difficult  to  conceive 
of  any  much  greater  advantage  than  free  ventilation  in  such  cases.  The  chief  of 
these  alluded  to,  for  example,  as  in 'compound  and  coniminuted  fractures,  sabre  and 
bullet  wounds,  or  in  other  wounds  involving  the  skin  and  subjacent  structures,  and 
requiring  frequent  ablution  or  dressing,  without  disturbing  the  general  position  or 
condition  of  the  limb,  will  be  sought  for  in  vain  outside  of  the  wire-gauze. 

"A  wound  may  be  clearly  seen  and  freely  syringed  or  sponged,  and  receive  other 
local  treatment  through  the  wire-gauze,  even  when  situated  on  the  posterior  or  lat- 
eral aspect  of  the  limb,  without  disturbing  its  position  in  the  slightest  uncomfortable 
degree.  Again,  where  it  is  desirable  to  remove,  at  any  point,  undue  or  uncomfortable 
pressure,  nothing  is  more  easily  accomplished,  as  the  leather  straps  and  buckles 
attached  to  the  margin  of  the  ware-gauze  may  be  slackened  or  tightened  at  such 
points  as  may  be  necessary  to  secure  the  desired  relief.  By  this  management, 
undue  pressure  on  the  muscles  may  be  almost  obviated.  The  foot  and  heel  may  be 
turned  to  most  important  account  as  a  lever  or  weight  in  certain  fractures,  by  in- 
creasing or  lessening  the  support  which  the  anterior  cord  and  pulley,  or  sling 
attached  to  the  distal  end  of  the  gauze  is  capable  of  efiecting. 

"Besides  the  foregoing,  there  are  still  other  advantages  attainable  by  the  wire- 
gauze  when  properly  attached  to  the  anterior  splint,  or  other  support.  But  these 
will  readily  suggest  themselves  to  intelligent  practitioners  in  individual  cases.  The 
writer  has  become  satisfied  that  from  his  own  and  the  experience  of  friends,  that  the 
wire-gauze  sufficiently  fine,  accurately  cut,  and  properly  adjusted  to  the  limb,  and 
anterior  support,  that  less  sagging  takes  place  than  under  any  other  method  of  treat- 
uio-  fractures,  and  consequently  less  deformity  results  from  this  than  any  other 
mode  of  treatment  where  bandages  are  used." 


DR.  VON  BRUNS'  COTTON  LINT. 

WoTJND-DKESsiNG-coTTON.     Prepared  by  the  International  Manufactory  of  wound 
dressing  materials.     Schaff/iausen. 


Pakt  IV. 

67   CHATHAM    STREET,    NEW-YORK.  57 

Branch  Store,  107  East  28ti£  St.,  N.  Y. 

Pig.  104.    Skinner's  Uew  and  Improved  Fracture  Bed. 

Price,  $25.00. 


~Bj  referring  to  the  cut,  the  surgeon  will  readily  comprehend  the  manner  of  treat- 
ing a  fracture  on  this  bed.  In  the  cut,  A  represents  the  bed  proper,  or  the  sliding 
portion  thereof,  which  is  six  feet  long,  two  and  one-half  feet  wide,  six  inches  high 
at  the  head  and  one  inch  at  the  foot.  It  is  covered  about  two-thirds  of  its  length 
with  zinc  cut  into  strips  and  laid  longitudinally  to  the  bed.  A  hole  is  made  through 
this  covering  for  defecation,  which  hole  is  covered  with  a  sheet-iron  cap  that  can  be 
withdrawn  when  required.  The  side  rails  of  the  bed  A  rest  on  six  rolls  that  run  in 
grooved  ways,  on  each  side  of  the  frame  B,  and  the  arrangement  is  such  that,  when 
the  top  of  the  bed  is  in  a  horizontal  position,  the  ends  of  the  ways  at  the  foot  of  the 
bed  are  about  six  inches  higher  than  the  ends  at  the  head,  thereby  causing  a  strong 
tendency  in  the  bed  to  roll  in  the  latter  direction :  extension  being  caused  by  the 
weight  of  the  patient's  own  body. 

DiEECTIONS    FOE    UsE-; 

See  that  the  rolls  are  on  the  red  spots  in  the  grooves  or  ways ;  then  fold  blankets 
or  quilts  to  the  width  of  the  bed,  and  so  that  they  will  reach  from  the  centre  of  the 
hole  left  for  defecation  to  the  head  of  the  bed,  and  from  the  hole  to  the  foot  of  the 
bed.      Fold  the  sheets  in  the  same  way. 

When  the  hole  is  used  for  defecation,  separate  the  blankets  and  sheets  and  intro- 
duce the  bed-pan  under  the  hole.  Lay  the  patient  on  the  bed,  his  nates  over  the 
hole.  Apply  adhesive  straps  from  the  point  of  fracture  to  the  foot,  forming  a  loop 
under  the  foot,  which  is  to  pass  around  and  enclose  next  to  the  foot,  the  foot-board  D. 
Apply  a  roller  or  bandage  in  the  usual  way.  By  elevating  the  foot  of  the  frame  B. 
by  means  of  the  slide  2  and  pin  3,  the  bed  proper,  with  patient  thereon,  tends  to  slide 
or  roll  from  the  foot-boai^d,  to  which  the  fractured  limb  is  attached,  thus  causino- 
any  amount  of  extension  required,  according  to  the  height  the  foot  is  raised. 
When  the  leg  is  extended  to  its  proper  length  fasten  the  check-strap  E,  so  as  to  pre- 
vent the  bed  from  rolling  any  farther,  thereby  preventing  any  unnecessary  stretch- 
ing of  the  muscles  and  still  maintaining  the  requisite  tension. 


Paut  IV. 
53  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  105.    Hewit's  Apparatus  for  Fracture  of  the  Femur. 

Price,   $40.00. 

[Extracted  from  JMedUal  J\cco)-d,  N.  Y.,  July 
18th,  1868.] 

"  It  consists  of  two  light  flat  lateral  bars 
of  steel  connected  by  a  cross-bar  beloM'  the 
sole  of  the  foot.     The  exterior  bar  or  splint 
extends  from  its  angle  with  the  cross-bar, 
six  or  eight  inches  below  the  foot,  to  the  side 
of  the  chest  opposite  the  nipple.     Two  flat 
bands  of  steel  well  padded  secure  it  to  the 
chest   and   body.     The   inner  bar  reaches 
nearly  to  the  perineum,  but  does  not  im^ 
pinge,  and  the  floor  of  the  splint  is  of  flex- 
ible metal  carefully  padded  by  a  continua- 
tion of  the  bands  which  secure  it  to  the  limb 
and  buckle  in  front.     The  two  lateral  bars 
opposite  the  thigh  are  fenestrated  and  nuts 
are  inserted  capable  of  sliding  longitudinal- 
ly,  through  which  play  the  screws  which 
can  be  used  for  the  exact  application  of  de- 
tached moulded  metallic  '  splints  of  coapta- 
tion.'    Extension  and  counter-extension  are 
obtained  by  broad  straps  of  adhesive  plast- 
er extending  from  the  groin  in  front  and 
nates  behind,  secured  by  additional  bands 
encircling  the  body,  meeting  in  a  ring  at 
the  top  of  the  shoulder,  and  continued  by 
an  elastic  cord  running  over  a  pulley  at  the 
head  of  the  bed,  and  supporting  a  weight 
heavy  enough  to  meet  the  requirements  of 
the  particular  case. 

Extension  is  efEected  and  precisely  re- 
gulated by  plaster  extending  bands  connec- 
ted with  a  foot-piece  to  which  the  screw 
plaving  through  a  hole  in  the  cross-bar  is 
hooked  by  an  elastic  loop.  The  screws  are 
moved  by  a  detached  key,  which  places 
them  beyond  the  interference  of  the  patient 
or  his  friends.  The  cross-bar  is  secured  to 
an  upright  of  wood  at  the  foot  of  the  bed, 
also  by  elastic  straps,  to  prevent  the  upper 
border  of  the  under  portion  of  the  splint  pressing  against  the  nates  when  the  extend- 
ing force  is  exerted." 


67   CHATHAM   STREET,    NEW-YORK.  59 

Branch  Store,  107  East  28th  St.,  N.  Y. 


Fig.  106.  Buck's  Apparatus  for  Treating  Fracture  of  the  Thigh. 

Price,  complete,  with  sand  bag  and  wooden  upwright,  (^).  $10.00. 
Iron  pulley  fulcrum  and  two  clamps,  set  of  iron  weights,  see  p.  Gl,  $5.50,  extra. 


Fig.  106a. 


(h)  The  extending  band,  two  and  a  half  inches  wide,  and  two  yards  long,  of  Moleskin 
Adhesive  Plaster.  The  middle  of  the  band  for  a  distance  of  eighteen  inches  should 
be  covered  on  the  plaster  surface  with  a  strip  of  muslin  of  corresponding  width  or 
a  strip  of  the  ordinary  thin  plaster  stuck  to  it. 

Fig.  106b.  Fig.  106d. 


Fig.  106c. 


J 1 fc 


(c)  A  thin  wooden  block,  four  inches  and  a  half  long,  three  inches  and  a  quarter 
wide,  shaped  like  the  figure  :  to  be  interposed  transversely  below  the  sole  of  the  foot 
within  the  loop  of  the  extending  band,  to  prevent  pressure  over  the  ankles,  and  serve 
for  the  attachment  of  the  cordjk 


Part  IV. 
go  GEO.    TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


id)  An  India  Rubber  Band,  wliicli  passes  round  the  block,  and  by  means  of  which 
elasticity  is  combined  with  the  extension.  Fig.  I06e. 

{e)  The  Perineal  or  Ooanter  Extending  Band.  —  The 
perineal  portion  consists  of  India  Rubber  tubing  of  one 
inch  calibre,  and  two  feet  in  length.  It  is  lined  with  a 
tube  of  muslin  stuffed  with  bran  so  as  to  be  cylindrical 
in  shape  for  one  half  its  length  in  the  middle,  and  flatten- 
ed for  one-fourth  its  length  at  either  end.  The  lining 
tube  is  left  longer  by  nearly  one  inch  at  each  end  than  the 
rubber  tube,  and  to  it  the  rings  are  first  fastened  and  then 
reduced  within  the  outer  tube  and  sewed  to  it.  The  effect 
of  this  arrangement  is  to  limit  the  elasticity  when  the 
band  is  put  npon  the  stretch,  and  prevent  its  being  drawn 
out  of  shape  by  continued  use.  The  perineal  band  is 
lengthened  out  at  both  ends  by  means  of  a  piece  of 
narrow  webbing,  long  enough  to  reach  above  the  shoul- 
der, where  a  ring  at  both  ends  serves  for  the  attachment 
of  a  cord  to  fasten  it  to  the  head  of  the  bedstead. 

Letter  a.  Is  a  belt  to  pass  around  the  opposite  side  of 
the  body,  to  maintain  the  bearing  of  the  perineum  band 
in  a  line  with  the  axis  of  the  limb  and  trunk.      The 
rubber  tube  should   be  wound  with  Canton  flannel,  or  other  soft  material,  and  this 
should  b9  changed  as  often  as  it  becomes  soiled. 

(/)  Coaptation  Splints,  four  in  number,  to  surround  the  thigh,     a.  a.  a.     Three 
elastic  bands  with  buckles  to  secure  the  splints  in  place. 

Fig.  106f. 


Fig.  106ar. 


a 


^ 


(g)  An  npright  to  support  the  pulley.  This  form  of  upright 
made  of  wood  may  be  adapted  to  any  ordinary  bedstead.  A 
modification  suited  to  iron  bedsteads  is  represented  in  figure  h. 
(next  page.) 

The  sooner  the  limb  is  put  up  and  subjected  to  this  method 
of  treatment  after  the  fracture,  the  better.  Suffering  is  pre- 
vented, and  the  sufferer  made  comfortable  from  the  outset. 
The  amount  of  weight  to  be  employed  must  be  determined  by 
the  resistance  to  be  overcome,  and  the  toleration  of  the  patient. 
Sometimes  five  or  six  pounds  only  can  be  borne  at  the  outset, 
and  an  increased  weight  subsequently. 


Part  IV. 
67   CHATHAM   STREET,    NEW-YORK. 
Branch  Store,  107  East  38th  St.,  N.  Y. 


^1 


Mode  of  Application. 

A  roller  bandage  commenced  at  the  toes  in  the  usual  waj  is  continued  to  the 
ankles  where  it  is  temporarily  arrested.  The  band  of  adhesive  plaster  is  then  ap- 
plied so  that  its  middle  forms  a  loop  below  the  sole  of  the  foot,  and  its  ends  extend 
on  either  side  in  immediate  contact  with  the  limb  from  the  ankles  upward.  Over 
this  the  bandage  is  continued  as  high  up  as  the  plaster  which  stops  at  the  seat  of 
fracture.  To  allow  the  application  of  lotions  to  the  thigh  during  the  first  few  days 
of  treatment,  the  end  of  the  adhesive  bands  should  stop  short  at  the  condyles  of 
the  femur  and  be  turned  down.  Subsequently  they  may  be  replaced,  and  the  band- 
age continued  up  on  the  thigh  preparatory  to  the  application  of  the  coaptation 
splints  which  are  to  be  added  at  this  stage  of  the  treatment. 

The  wooden  block  is  next  to  be  interposed  transversely  within  the  loop  below 
the  sole  of  the  foot,  the  rubber-band  applied  around  it,  and  the  cord  attached  as  in 
Fig.  d.  The  limb  being  thus  prepared  for  extension,  the  perineum  band  may  now 
be  adjusted  and  its  ends  fastened  to  the  head  of  the  bedstead. 

The  body  belt  is  to  be  carried  around  the  opposite  side  of  the  trunk  and  secured 
so  that  the  line  of  counter-extension  shall  correspond  to  the  line  of  the  axis  of  the 
limb. 

The  limb  should  be  raised  upon  a  hair-cushion  sufficiently  to  clear  the  heel  from 
pressure. 

The  extending  cord  is  to  be  passed  over  the  pulley;  and  a  weight  attached  to  it. 


Pig.  106  h.  Dr.  Buck's  Set  of  Weights. 

Pulley  and  Fulcrum,  and  Clamps, 
Dr.  Buck's  Set  of  Weights,  consist  of 


One  weight  of 
Two  weights  of 
One  weight  of 


Two  pounds. 
Four  pounds,  each. 
Ten    pounds. 


Price  of  Buck's  Set  of  Weights,  Pulleys,  Iron  Fulcrum 
and  two  Clamps,  $5,50. 

Mitchel's  Adhesive  Plaster,  applied  by  moisture,  per  yard, 

$0.75. 

Moleskin  Adhesive  Plaster,  spread  on  twilled  goods,  very 
strong,  applied  by  heat,  per  j^ard,  $1.50, 

Roller  Bandage,  per  pound,  $1.50. 


62 


Paet  IY. 
GEO.    TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Fig.  107.    Apparatus  for  Gnnshot  Fractures  of  the  Femur. 

Price,  $10,00  to  $25.00,   according  to  finish. 


The  apparatus  is  composed  of  strong  iron  bars,  bent  as  in  the  above  drawing  (Fig^ 
107),  tlirough  which  are  passed  two  horizontal  sliding  rods,  supporting  two  pieces  of 
canvas,  upon,  which  the  limb  may  be  suspended.  The  perpendicular  bars  are  fur- 
nished each  with  a  clamp  a7id  thumb-screw,  by  means  of  which  the  bars  may  be  made 
fast  to  the  side-rails  of  an  iron  bedstead,  or,  in  case  of  necessity,  to  the  side  of  a 
stretcher.  The  clamps  enable  the  surgeon  to  suspend  the  limb  at  any  height  from 
the  bed,. and  to  give  to  the  canvas  bottom  any  degree  of  inclination  desirable. 


Fig.  108. 
Lente's  Apparatus  for  Treatment  of  Fracture  of  the  Thigh. 


Price,  $18.00. 
Fig.  108a, 


"  This  apparatus  is  a  modification  of  the  splint  originated  by  Desault  more  than 
half  a  century  ago,  and  altered  by  various  surgeons  from  time  to  time,  but  especially 
by  Dr.  Physic,  who  introduced  it  into  the  Pennsylvania  Hospital;  and  by  Dr, 
G-urdon  Buck,  who  introduced  it  into  the  New  York  Hospital  in  1837. 


Part  IV. 
67    CHATHAM    STREET,  NEW-YORK.  63 

Branch  Store.  107  East  28Tn  St.,  N.  Y. 

"  Desault  proposedto  make  the  tuberosity  of  the  isdiiuin  th.epoi?it  (V  appui  of  the 
counter-extending  force.  Dr.  Physic  extended  the  outside  splint  to  the  axilla,  thus 
bringing-  the  direction  of  the  counter-extension  more  in  a  line  with  the  axis  of  the 
limb,  and  almost  the  entire  pressure  on  the  groin.  Adhesive  plaster  bands  were  first 
proposed  by  Drs,  E.  Wallace  and  J.  Crosby,  and  adapted  to  the  jN'ew  York  Hospital 
apparatus  by  Dr.  Lente,  when  Resident  Surgeon  of  the  establishment,  in  1849  or '50. 
He  reduced  the  outer  splint  again  to  its  original  length  (to  the  crest  of  the  ilium). 

"  From  the  top  of  this  splint  passes,  in  a  curved  form,  over  the  abdonjen  to  the 
median  line,  a  steel  brace,  padded  (^1,  Fig.  108a).  To  the  end  of  this  the  pelvic  band 
is  buckled,  and  upon  it  slides  a  plate  (P),  fixed  at  any  required  point  by  a  binding 
screw,  to  the  bottom  of  which  the  perineal  band  is  buckled,  as  seen  in  the  engrav- 
ing. The  iron  brace  is  attached  to  the  splint  by  binding-screws,  so  that  it  may  be 
shifted,  and  the  splint  thus  adapted  to  either  side  of  the  body.  The  posterior  por- 
tion of  the  perineal  band  passes  under  the  thigh  just  below  the  tuberosity  of  the 
ischium,  and  is  buttoned  to  the  outer  splint  at  a  point  about  opposite  the  greater 
trochanter,  or  at  such  a  point  that,  when  extension  is  being  made,  the  band  shall 
exactly  grasp  the  tuberosity,  and  not  slip  under  it.  After  all  the  extension  has  been 
made,  by  means  of  the  screw,  that  the  patient  can  bear  comfortably,  the  bands, 
being  elastic,  continue  the  extension,  and  by  a  very  gradual  and  imperceptible 
force  — a  force,  however,  most  difiicult  to  resist- — tire  out  the  contracted  muscles 
of  the  thigh,  and  still  further  elongate  the  limb.  A  spiral  spring  has  also  been 
enclosed  in  the  ferule  terminating  the  screw  to  which  the  hook  for  the  extending 
band  is  fastened. 

"Dr.  Lente's  remaining  modification  is  a  foot-piece  (Z>,  Fig.  108a),  attached  by  a 
slide  and  thumb-screw  to  the  mortice  in  the  external  splint,  and  capable  of  removal 
at  pleasure.  This  is  intended,  first,  to  prevent  a  usual  tendency  to  eversion  of  the 
foot;  and  secondly,  by  projecting  a  little  beyond  the  toes,  to  take  ofi^  the  pressure 
of  the  bed-clothes." 

Application  of  the  Apparatus. 

"  Having  laid  the  patient  on  a  firm,  unyielding  mattress,  covered,  if  you  prefer, 
with  one  or  two  folded  blankets,  and  measured  the  respective  lengths  of  the  sound 
and  injured  limbs,  comparing  the  results  of  two  or  more  measurements  (from  the 
anterior  superior  spinous  process  to  the  internal  maleolus),  shave  the  leg  fi'om  the 
knee  to  the  ankle,  apply  a  strip  of  adhesive  plaster,  three  inches  broad,  and  well 
warmed,  to  both  sides  of  the  leg,  from  just  below  the  knee,  allowing  them  to  extend 
some  inches  below  the  sole  of  the  foot.  These  free  ends  are  to  be  warmed  and 
smoothly  stuck  to  a  thin  block  a  trifle  wider  than  the  ankle-joint,  through  holes  on 
either  side  of  which  a  strong  cord  is  to  be  passed,  to  be  attached  to  the  hook  or  ring 
terminating  the  screw.  A  roller  bandage  is  now  to  be  applied  from  the  foot  to  the 
groin,  taking  care  to  make  considerable  pressure  over  the  adhesive  strips.  The  long 
splint,  having  been  adjusted  to  the  length  of  the  limb,  and  its  cushion  secured  to  it 
is  to  be  placed  along  the  outside  of  the  limb,  its  top  just  reaching  to  the  crest  of  the 
ilium  ;  then,  having  passed  the  pelvic  band  under  the  body,  a  guttered  splint  fur- 
nished with  a  thin  cushion,  long  enough  to  extend  from  the  tuberositv  to  thepoplit- 


64: 


Part  IV. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarrk. 


eal  space,  is  to  be  passed  mider  the  thigh.  At  the  same  time  the  perineal  band, 
previously  buckled  to  the  iron  brace,  is  to  be  passed  under  the  thigh  and  adjusted 
in  its  proper  place.  The  extending  band  is  now  to  be  secured  to  the  screw,  while 
an  assistant  is  making  moderate  traction  on  the  foot,  and  at  the  same  time  pushing 
up  the  long  splint;  the  object  of  this  being  to  tighten  everything  before  commenc- 
ing extension  with  the  screw,  every  turn  of  which  will  then  give  an  increase  of 
tension.  If,  after  this,  the  splint  is  found  to  have  been  forced  up  a  little  higher 
than  the  crista  ilii,  the  perineal  band  must  be  buckled  at  either  end  a  little  tighter, 
in  order  to  rectify  this.     The  inside  splint  may  now  be  applied,  and  the  concavity 


between  its  cushion  and  the  leg  a  little  more  than  filled  up  with  folds  of  old 
blanket,  or  some  such  elastic  material ;  so  that,  when  the  splints  come  to  be  bound 
firmly  together,  the  inner  condyle  of  the  femur  may  not  be  painfully  pressed  upon, 
a  circumstance  which  causes  great  discomfort  to  the  patient;  a  guttered  splint  a 
little  longer  than  the  posterior  must  now  be  placed  on  the  anterior  aspect  of  the 
thigh-  and  then  all  the  splints  with  the  enclosed  limb  are  to  be  encircled  with  four 
strips  of  strong  muslin  or  linen  about  an  inch  and  a  half  wide,  and  long  enough  to 
pass  twice  around  the  splints  and  tie  in  a  bow-knot,  two  of  these  for  the  thigh  and 
two  for  the  leg.  The  arrangement  of  these  bands  is  of  considerable  importance,  as 
it  is  thus  that  we  are  enabled  to  dispense  with  the  old-fashioned  splint-cloth,  a  very 
troublesome  contrivance,  and  to  keep  the  splints  from  tilting  forward  without  it. 
One  end  is  to  be  passed  under  the  limb,  then  around  it  in  front,  under  again,  and 
around  in  front,  to  be  there  tied  to  the  other  end.  In  doing  this,  it  is  seldom  requi- 
site to  raise  the  limb  sufiBciently  to  disturb  the  patient.  These  bands  are  now  to  be 
loosely  tied  ;  and,  having  made  a  degree  of  extension,  by  means  of  a  screw,  corres- 


Part  IV. 

67   CHATHAM    STREET,    NEW   YORK.  Q^ 

Branch  Store,  107  East  28'jh  St.,  N.  Y. 

ponding  to  tlie  amount  of  shortening,  the  foot-piece  is  to  be  Bcrewed  on  so  as  to  be 
HI  apposition  with  the  outer  surface  of  tlie  foot.  The  bands  are  now  to  be  firmly 
tightened  and  tied  ;  and,  if  care  lias  been  taken  to  keep  the  inner  condyle  from  un- 
due pressure,  they  may  be  tightened  to  any  required  degree  without  any  inconven- 
ience to  the  patient.  Next,  the  wedge-shaped  cushion  is  to  be  placed  under  the  ap- 
paratus; and.  finally,  the  pelvic  band  is  to  be  tightened  as  firmly  as  the  patient  can 
comfortably  bear.  A  patient  nnder  treatment  with  this  apparatus  can  attend  to  the 
calls  ot  nature  with  very  little  inconvenience.  He  has  only  to  raise  his  hips  slightly 
with  the  aid  of  the  leg  and  arm  of  sound  side,  wliile  the  bed-pan  is  slipped  under  him 
without  deranging  the  apparatus  in  any  degree.  The  peculiar  arrangement  of  the 
perineal  band  secures  it  from  being  soiled,  as  it  is  removed  from  the  immediate  vi- 
cinity of  the  anus." 

Pig.  109.    Bulge's  Apparatus  for  Fractures  of  the  Femur. 

Price,    $  50.00. 


For  Instrnments  to  Operate  on  Fractured  Bones,  See  onr  Catalope,  Part  I. 

Bone  Forceps,  see  Figs.  31,  39,  40,  41,  42,  43,  68,  69,  77,  79,  80,  81,  82, 

Bone  Drills,  Figs.  34,  35,  36,  50,61. 

Pereosteotomes,  Figs.  37,  38,  70,  71. 

Saws,  Figs.  1,  2,  3,  9,  16,  51,  52,  53,  54,  55,  57,  58,  60,  65,  66,  67,  78. 

Trephines,         47,  48,  49. 

Retractors,  Figs.  62,  73,  74,  76. 

Mallet,  Fig.  83. 

Chisels  and  Gouges,  84,  85,  86. 

Chain  Saw  Conductor,  Fig.  60. 


Part  IV. 

65  GEO.   TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  110.    Liston's  Improvement  of  Mclntire's  Splint. 

Price,    $16.00. 

Liston's  Splint  is  particu- 
larly applicable  to  the  treat- 
ment of  fractures  of  the 
condyles  of  the  femur  and  of 
the  upper  extremity  of  this 
bone  attended  with  a  dispo- 
sition to  displacement  of  the 
lower  end  of  the  upper  frag- 
ment It  may  also  be  ad- 
vantageously employed  in 
compound  fractures  attended 
with  severe  contusion  and  laceration  of  the  integuments,  as  it  affords  an  easy  and 
comfortable  position  to  the  injured  limb.  It  is  applied  to  the  limb  by  attaching 
the  foot  to  the  foot-board  and  the  limb  to  the  splint  by  a  roller  bandage.  The 
angle  of  flexion  is  regulated  by  the  screw.  The  splint  is  made  of  galvanized 
iron.     We  have  on  hand  also,  Inclined  Plane  Splints  made  of  wood,  see  page  67. 


Fig.  111.     Henry's  Shears, 


(To  facilitate  the  removal  of  plaster  of  paris  dressing  and  starch  bandages.) 

Price.  $7.50. 


The  illustration  conveys  a  clear  idea  of  the  form  and  features  of  the  instrument. 
The  upper  blade  is  heavy,  with  clean  incisive  power.  The  lower  blade  is  longest 
and  blunt-pointed,  and  made  in  the  form  of  an  elevator,  which  enables  the  operator 
to  insinuate  that  point  under  the  dressings,  and,  if  necessary,  press  on  the  soft  parts 


Part  IV. 

67   CHATHAM    STREET,   NEW- YORK.  67 

Branch  Store,  107  East  28th  St.,  N.  Y. 

beneath  without  doing  any  injury.  He  can  then  cut  as  easily  througli  the  plaster 
of  paris  dressings  as  the  tailor  does  heavy  cloth  with  the  ordinary  shears.  The 
handle  is  nearly  at  a  right  angle  to  facilitate  movements,  and  adds  to  the  cutting 
force." 

Seutin's  Bandage  Shears,  Price  $5.00. 


PRICE    LIST    OF    CARVED    WOOD    SPLINTS. 

Double  Inclined  Planes,  of  wood,         -             -             .             .      |  Y.OO     8.00  9.00 
Lining  Splints,  set  of  20,                 -..___         $5.00 

Leg  and  Ankle  Splints,  per  pair,         -             -             -             -             ..             -  2.00 

Forearm  Splints,                 u       a                 .             .             .             ,             .  1,25 

Elbow  Splint,  plain,                  ...-_,_.  1,50 

Elbow  Splint,  jointed.        -             -             -             -             -             -             -  2.50 

Patella  Splints,             -            -            -     .       -            -            -             -            -  1.50 

Radius  Splint,        -----.._  1.25 

Bond's  Splint  for  Fracture  of  Radius,              -             -             -             -             -  2.25 

Clavicle  Splint,      -----_..  4.0O 

Condyle  and  Humerus  Splint,              --_.._  iqq 

Large  Extension  Splint,  Bar  and  Garter,               _             ,             .             _  700 

Short  Extension,  without  screw,           -             -             -             -             -             -  3,00 

Interosseous  Splint,           _             -             .             .             _             .             .  75 

Joint  Arm  Splint,                     -             -             -             -             ...            _  3.00 

Dressing  Splints,  per  pair,             ......  125 

Bass  Wood  Splints. 

Set  of  12  Straight  Splints,        ---_--.  i.oo 

Set  of  12  Radius  Splints,                -             -             -      '       -             -             -  1.25 

Hatter's  Board  for  Splinting,  per  yard,            -             -             -             -             -  4.00 
Gutta  Percha  for  Splinting,  per  pound,                 -             .         ,    _             3.00  to  4.00 

Plaster  Paris  Splinting,  see  pages  83,  99,  101,  102,  103. 

Wire  Splints,  made  to  order. 


NEW  FRACTURE  DRESSHSTG. 

At  the  meeting  of  the  Society,  Dr.  "Wackerhagen  presented  a  new  supporting  material  for  frac- 
tured bones.  It  is  prepared  from  plaster  of  Paris,  shellac,  glua  and  flannel.  "When  soaked  in  hot 
water,  it  becomes  soft  and  flexible  in  about  two  minutes,  and  can  be  readily  moulded  to  the  contour 
of  the  injured  limbs.  It  is  applied  over  cotton  wadding,  and  Avill  become  hard  and  supporting  in  five 
minutes  after  the  applicatian  of  the  roller.  Dr.  W.  believes  it  to  be  superior  to  anything  of  the  kind 
now  in  use,  because  of  its  lightness,  the  short  time  it  requires  to  become  hard  and  supporting,  and  the 
low  price,  when  compared  with  felt  or  gutta-percha.  It  is  prepared  by  Tiemann  &  Co.  Dr.  W.  has 
left  samples  at  the  Rooms  for  inspection. — Proceedings  of  the  Medical  Society  of  the  County  of  Kings, 
August,  1878. 


pat?t  ly. 

68  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohi.manx.  Edward  Pfarre. 

Apparatus  for  Fracture  of  the  Patella. 

The  object  of  all  apparatus  for  fracture  of  the  patella  is  to  counteract  the  action 
of  the  extensor  nuiscles,  Avhieh  have  a  tendency  to  draw  the  superior  fragment  iip- 
\vards,  away  from  the  lower.  Some  of  the  most  efficient  contrivances  for  keeping 
the  fragments  in  coaptation  are  those  sketched  below.  They  are  all  simple,  and  will 
readil}^  be  understood  bj  viewing  the  cuts  Figs.  112  to  118. 


Fig.  112= 
Turner's  Apparatus  for  Treatment  of  Fracture  of  the  Patella. 

Price,  $12.00. 
Described  and  used  by  Fkancis  V.  White,  M.  D, 

(Extracted  from  the  Medical  Record,  July  15,  1867.) 

"  The  apparatus  consists  of  thigh  and  leg-pieces  of  sheet-iron,  with  two  buckled 
straps  attached  to  each,  united  by  two  lateral  bars  and  one  posterior  bar  of  steel. 
To  the  posterior  bar  are  two  troughs  (part  of  a  circle),  on  a  double  reversed  screw; 
and,  by  turning  the  key  in  opposite  directions,  the  troughs  separate  or  approach  each 
other.  The  apparatus,  being  japanned,  is  always  ready  for  new  cases  when  cleaned. 
The  apparatus  should  be  applied  in  simple  fractures  as  soon  as  possible  ;  but  if,  in  the 
opinion  of  the  surgeon,  it  would  aggravate  existing  imflammation,  thereby  jeopard- 
izing the  joint,  it  could  be  applied  as  a  posterior  splint,  withont  using  the  coapting 
iippliance,  until  anti-phlogistic  measures  make  it  safe.     The  apparatus,  to  be  applied 

properly,  should  be  well  padded 
with  flannel  or  other  material,  for 
protecting  thigh  and  leg  from  the 
splint  and  straps  ;  quadriceps  fem- 
ori^  should  be  relaxed,  the  limb 
held  by  the  thigh  portion,  and  buck- 
led ;  also  buckle  the  leg  portion. 
Use  an  anaesthetic  if  necessary. 
First  fix  the  lower  fragment,  by 
drawing  it  up,  smoothing  the  integ- 
uments down  ;  this  being  held  by 
an  assistant,  the  surgeon  applies  a 
sti'ip  of  adhesive  plaster,  of  sufficient 
width  to  hold  the  fragment,  and 
overlaps  it  sufficiently  to  prevent 
any  tilting  up,  passes  the  free  ends 
of  the  adhesive  plaster  around  the 
upper  trough,  crosses  them  and 
applies  them  to  the  skin.  The  up- 
per fragment  being  coapted,  the  integuments  being  smoothed  up,  a  similar  piece  of 
plaster  is  applied  around  the  lower  trough  as  around  the  lower  fragment.  Interpose 
something  where  the  plasters  cross  each  other,  to  prevent  their  sticking  together- 


Pakt  IV. 


67  CHATHAM   STREET,    NEW-YORK, 


Branch  Store, 


107  East  28tu  St.,  N.  Y. 


69 


For  firmness,  use  double  strips  of  plaster.  Snip  the  upper  edge  of  tlie  upper 
plaster,  thus  a  rounded  edge  instead  of  a  cutting  edge  will  be  presented  to  the 
integuments,  avoiding  in  a  degree  excoriation.  Tiie  apparatus  should  I'emain 
applied  thirty  or  forty  days.  When  new  dressings  are  applied,  the  patella  Ijoing 
held,  cautious  passive  motion  may  be  made.  After  the  apparatus  is  ]jermanently  re- 
moved, the  patient,  to  favor  consolidation,  should  wear  something  to  prevent  too 
much  use  of  the  patella,  say  for  four  or  six  months,  viz.,  an  elastic  knee-cap  with  a 
ring  arrangement  over  the  patella,  or  posteriorly  a  piece  of  gutta  percha  oi-  leather 
strapped  above  or  below  the  joint,  either  of  which  being  soltened  by  warm  water 
can  be  aj)plied,  and  allow  of  a  certain  flexion.  Passive  motion  can  be  occasionally 
made,  but  not  extreme,  under  six  months. 

Directions  for  Measurement. 


1.  Length  from  above  the  ankle  to  upper  third  of  thigh. 

2.  Right  or  left  leg.     - 

3.  Circumference  of  thigh, 

4.  Circumference  of  calf,         -  .  _  _ 


INCHES. 

iC 

n 


Fig.  113. 
Lewis'  Apparatus  for  Treatment  of  Practure  of  the  Patella. 

Price,  $  6.00. 

This  apparatus  consists  of  a  broad  pad,  resting  on  the  popli- 
teus,  to  keep  the  knee  extended,  and  a  narrow  pad,  fitting  the 
upper  border  of  the  patella.  A  strap  connected  with  the  lat- 
ter one  is  first  passed  through  a  ring  attached  to  the  popliteal 
pad,  then  continued  down  the  leg  on  each  side,  being  finally 
buckled  to  a  lined  foot-pad.  This  makes  the  foot  a  fixed  point 
for  extension,  and  the  ring  through  which  the  strap  passes 
gives  it  also  a  direction  backwards,  maintaining  a  firm  hold 
of  the  upper  fragment  of  the  patella,  whilst  the  lower  frag- 
ment is  readily  kept  in  place  by  a  strip  of  adhesive  plaster. 


Directions   for  Measurement. 

1.  Circumference  above  knee, 

2.  Leno;th  from  sole  of  foot  to  knee. 


.     Incht 


DR.  VON  BRUNS'  COTTON  LINT. 

WouND-DREssiNG-coTTON.     Prepared  by  the  International  Manufactory  of  wound 
dressing  materials.     Schafhausen. 


Pakt  IV, 


10  GEO.  TIEMANN   &   CO."S   SURGICAL   INSTRUMENTS, 

F.  A.  STOHLArANN.  Edward  Pfarre. 

Figs.  114a,  114b. 
Boisnot's  Apparatus  for  Treatment  of  Fracture  of  the  Patella. 


Fig.  114a. 


(^ 


Price,  $12.00. 

This-  apparatus  is  adapted  to  the  limb  at  an 
angle  natural  to  it,  and  therefore  consistent  with 
coaptation  of  the  fragments.  The  splint  is  con- 
cave, to  suit  the  convexity  of  the  limb.  The  semi- 
lunar pieces  are  of  stout  leather,  doubled  and 
crimped.  The  cords  pass  over  pulleys  to  revolv- 
ing transverse  pieces,  which  are  protected  from 
-slipping  by  spring  and  ratchet.  The  patient  is  not 
confined  to  bed. 

Directions  for  Measurement: 
1.    Length  from  above  the  ankle  to  upper  third 


Fig.  114b. 


of  thigh, 

2.  Ch'cumference  of  thigh, 

3.  Circumference  of  calf, 


Inches. 


Fig.  115. 
Hartshorn's  Apparatus  for  Treatment  of  Fracture  of  the  Patella. 

Price,  $7.00. 

This  apparatus  consists  of  a  light  tin  splint, 
fitting  the  posterior  half  of  the  limb.  It  is  cov- 
ered with  morocco  and  is  made  to  lace  or  to 
buckle  in  front.  The  coapting  appliances  are  a 
pair  of  strong  webbings  or  straps,  well  padded  in 
the  middle,  which  are  drawn  across  the  fragments 
obliquely,  tightened  by  means  of  buckles  or  hooks. 
The  application  is  very  simular  to  that  of  Turner's 


Splint. 


Directions  for  Measurement 


1.  Length  from  above  ankle  to  upper  third  of 

thigh,        ....     Inches. 

2.  Kight'or  left  leg?  .  ,  " 

3.  Circumference  of  thigh,       .  .         " 

4.  Circumference  of  calf,  ...  " 


Part  IV. 

67   CHATHAM    STREET     NEW-YORK  Yl 

Branch  Store,  107  East  2Btii  St.,  N.  Y. 

Fig.  116, 
Hamilton's  Apparatus  for  Treatment  of  Fracture  of  the  Patella. 

Price  $  8.00  to  $  10.00. 


[Extracted  from  Hamilton  on  Fractures  and  Dislocations. \ 

"  The  dressing  which  I  have  usually  employed  in  thr  treatment  of  this  fracture, 
consists  of  a  single  inclined  plane,  of  sufficient  length  to  support  the  thigh  and  leg, 
about  six  inches  wider  than  the  limb  at  the  knee.     This  plane  rises  from  a  horizon- 
tal floor  of  the  same  length  and  breadth,  and  is  supported  at  its  distal  end  by  an  up- 
right piece  of  board,  which  serves  both  to  lift  the  plane  and  to  support  and  steady 
the  foot.     The  distal  end  of  the  inclined,  plane  may  be  elevated  from  six  to  eighteen 
inches,  according  to  the  length  of  the  limb  and  other  circumstances.      Upon  either 
side,  about  four  inches  below  the  knee,  is  cut  a  deep  notch.      The  foot-piece  stands 
at  right  angles  with  the  inclined  plane,  and  not  at  right  angles  with  the  horizontal 
floor.     It  may  be  perforated  with  holes  for  the  passage  of  tapes  or  bandages  to  secure 
the  foot.     Having  covered  the  apparatus  with  a  soft  and  thick  cushion  carefully  a- 
dapted  to  all  the  irregularities  of  the  thigh  and  leg,  especial  care  being  taken  to  fill 
the  space  under  the  knee,  the  whole  limb  is  now  laid  upon  it,  and  the  foot  gently 
secured  to  the  foot-board,  between  which  and  the  foot  another  cushion  is  placed, 
The  body  of  the  patient  should  also  be  flexed  upon  the  thigh,  so  as  the  mor©  effect- 
ually to  relax  the  quadriceps  femoris  muscle.     A  compress  made  of  folded  cotton 
cloth,  wide  enough  to  cover  the  whole  breadth  of  the  knee,  and  long  enough  to  extend 
from  a  point  four  inches  above  the  patella  to  the  tuberosity  of  the  tibia,  and  one-quar- 
ter of  an  inch  thick,  is  now  placed  on  the  front  of  and  above  the  knee.     While  an 
assistant  presses  down  the  upper  fragment  of  the  patella,  the  surgeon  precedes  to 
secure  it  in  place  with  bands  of  adhesive  plaster.     Each  band  should  be  two  or  two 
and  a  half  inches  wide,  and  sufficiently  long  to  enclose  the  limb  and  splint  obliquely. 
The  centre  of  the  first  band  is  laid  upon  the  compress,  partly  above  and  partly  upon 
•  the  upper  fragment,  and  its  extremities  are  brought  down  so  as  to  pass  through  the 
two  notches  on  the  side  of  the  splint,  and  close  upon  each  other  underneath.      The 
second  band,  imoricating  the  first,  descends  a  little  lower  upon  the  patella,  and  is 
secured  below  in  the  same  manner.     The  third-  and  so  on  successively  until  the  whole 


72 


Paet  IV. 

GEO.   TIEMANN   cS:   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 


of  the  compress  and  knee  is  covered,  is  carried  more  nearly  at  right  anscles  around 
tlie  leg  and  splint,  the  last  band  i^assiiig  obliquel)-  from  below  the  ligamentum  patellre 
upwards  and  backwards.  The  dressing  is  now  completed  by  passing  a  cotton  roller 
lightlj'  around  the  whole  length  of  the  splint,  commencing  at  the  toes  and  ending  at 
the  groin." 

Fig.  117. 
Tiemann  ^  Go's  Knee-cap  for  After-Treatment  of  Fractured.  Patella. 

Price,  $5.50. 

Authorities  on  surgery  say  that  great  care  must  be  taken 
not  to  rupture  the  ligaments  of  the  newly  formed  union, which 
so  often  happens  after  recovery  of  the  patient  from  iractured 
patella.  For  the  purpose  of  guarding  against  such  a  recurrence, 
we  make  the  apparatus  shown,  Fig.  J 17.  It  consists  of  a  knee- 
cap made  of  buckskin  or  satin  jean,  which  is  adjustable  to  the 
knee  by  buckles  or  laces.  It  is  provided  with  a  pair  of  coap- 
tation pads,  to  retain  the  newly  united  patella  in  place.  These 
pads  are  arranged  to  approximate  by  drawing  on  laces,  as 
shown  in  the  upper  border  of  the  cap,  represented  Fig-  117. 
■  It  affords  the  patient  exercise  of  the  knee-joint,  the  best  guard 
against  the  danger  of  anchylosis,  at  the  same  time  preventing 
any  undue  strain  on  the  newly  united  upper  fragment  of  the 
patella. 


DiEECTIONS    FOE    MeASUKBMENT  I 


1.  Circumference  above  knee, 

2.  Circumfei'ence  of  knee, 

3.  Circumference  below  the  knee. 


Inches. 


Fig.  118. 
Steel  Spring  and  HiilDlDer  Cup  for  Treatment  of  Fractured  Patella. 


-^^ 


Price,  ^6,00. 


Part  IV. 

67   CHATHAM   STREET,   NEW-YORK.  1$ 

Branch  Store,  107  East  28th  St.,  N.  Y. 

Apparatus  for  llie  Treatment  of  Fracture  of  ttie  TiWa  aiifl  FiMla. 


Fig*.  119.    Hodgen's  Apparatus  for  Complicated  Fractures  of  the 

Lower  Extremities. 

Price,  $6.00. 


This  apparatus  consists  of  a  wooden  frame,  formed  of  four  square  bars  of  the  length 
of  the  h)wer  extremity.  These  bars  are  united  by  a  crescent-shaped  piece  of  wood 
situated  at  the  back  of  the  knee,  and  by  a  foot-board  below,  two  on  either  side  of  the 
leg.  The  lower  two  serve  the  purpose  of  holding  together,  and  giving  the  apparatus 
an  inclined  plane;  the  upper  bars  serve  as  points  of  attachment  for  a  number  of 
linen  straps  or  rollers  to  suspend  the  limb.  They  are  placed  side  by  side  and  fast- 
ened with  pins,  and  constitute  a  perfect  bed,  having  the  advantage  of  adapting 
themselves  to  the  differences  in  the  conformation  of  the  limb.  The  foot  is  retained 
to  the  foot-board  by  long  adhesive  plaster  strips  being  passed  around  the  foot-board 
and  carried  upwards  and  secured  to  both  sides  of  the  leg  with  roller  bandage,  leav- 
ing a  sort  of  loop  beneath  the  foot-board,  through  which  a  rope  is  passed  and 
attached  to  a  little  bag  weighted  with  sand,  for  the  purpose  of  keeping  up  extension. 
Counter-extension  is  made  by  a  perineal  band,  the  end  of  which  is  secured  to  the 
head  of  the  bed.  A  long  cross-bar  under  the  foot-board,  resting  on  the  bed,  pre- 
vents the  apparatus  from  tilting.  Bricks  may  be  placed  under  the  inferior  legs  of 
the  bed,  to  give  the  apparatus  an  inclination  towards  the  pelvis.  One  of  the  ad- 
vantages of  this  instrument  is  that  each  of  the  bauds  of  linen  may  be  removed 
separately,  any  wound  dressed  and  the  band  reapplied  without  displacing  the  others. 


ROHLAND'S  STYPTIC  COTTON. 

Price,  per  box,  35  cents. 

Promptly  arrests  bleeding,  either  active  or  passive  hemorrhages.  Apply  a  thin 
layer  of  this  cotton  with  gentle  pressure  to  the  surface  of  the  bleeding  wound.  If 
desired,  it  can  be  easily  removed  a  few  minutes  after  application,  although  the 
healing  process  will  be  accelerated  by  leaving  it  on.     It  should  be  kept  dry. 


74 


Part  IV. 
GEO.    TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


Fig.  120.     Smith's  Anterior  Splint  for  Treatment  of  Gunshot 
Fractures  of  the  Lower  Extremities. 

Price,  $3.00. 


See  also  Fig.  103. 
"We  make  to  order  ail  otlier  Suspending-  Apparatus,  and  Salter's  Cradle. 
Also  Carved  Wooden  Splints  for  the  leg  and  ankle. 

Lining  Splints,  made  of  thin  boards  of  wood   held  together  by  a  sheep-skin 
lining. 

Bauer's  Wire  Splints,  a  frame  made  of  iron  wire  covered  with  gauze. 


Fig.  121.    Raphael's  ModifiGation  of  Pott's  Splint. 


Price,  $5.00. 


Used  for  fractures  of  the  fibula,  when  ihey  occur  about  two  or  three  inches  above 
the  lower  end,  usually  resulting  from  a  fall  upon  the  foot,  in  consequence  of  which 
the  foot  is  violently  twisted  outwards,  and  sometimes  the  ankle  is  itself  dislocated. 
The  above  is  a  modification  of  Pott's  Splint,  consisting  in  the  addition  of  the  screw 
for  extension. 

Pott's  original  dressing  is  composed  of  an  outside  angular  splint  seven  inches  in 
width,  constructed  of  deal  board  with  a  projection  to  accomodate  the  foot ;  it  is  well 


Part  IV. 
67  CHATHAM   STREET,    NEW-YORK. 
Branch  Store,    .  107  East  28th  St.,  N.  Y. 


75 


padded,  and  has  a  hole  with  bevelled  edges  to  accommodate  the  external  raaleolus. 
It  is  placed  on  the  outside  of  the  limb,  which  must  be  flexed  on  the  abdomen,  and 
the  leg  kept  at  a  right  angle  with  the  thigh.  On  the  inside  of  the  leg  a  padded 
straight  splint  of  felt,  leather,  or  paste-board,  extending  from  the  ankle  to  the  knee, 
is  placed,  and  the  two  secured  by  roller  bandage.  The  limb  is  allowed  to  rest  on  its 
outer  side. 

Carved  Wooden  Splints  are  also  used.     See  also  Depuytren's  Splint. 


Mim  for  lie  Trealient  of  Fracture  of  tlie  lower  Maiillary. 
Pig.  122.    Hamilton's. 

Price,  $  5.00. 
Silk,  extra  fine,  $  12.00. 

A  firm  leather  strap  passes  under  the  chin 
and  is  buckled  over  the  top  of  the  head.  It  is  stayed 
by  two  counter-straps  of  linen  webbing.  One  of  these 
is  looped  apon  the  maxillary  strap  at  a  point  just 
above  the  ears,  and  may  be  elevated  or  depressed  to 
fit  different  heads.  This  strap  is  buckled  under  the 
occiput  posteriorly,  and  across  the  forehead  anteriorly. 
A  vertical  strap  passing  over  the  top  of  the  head  in 
the  line  of  the  sagittal  suture,  unites  the  maxillary 
and  the  occipital  strap.  To  prevent  the  maxillary 
strap  being  displaced  backward,  a  chin-piece  is  fasten- 
ed to  it. 


ROLLER    BANDAGE. 


Roller  Bandage,  per  pound,  -  -  -  - 

Adhesive  Plaster,  per  yard. 

Strong  Adhesive  Plaster,  on  twilled  goods,  per  yard, 


$1.50 

.75 

1.50 


Pakt  IV. 

7(5  GEO.   TIEMANN   &    CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Anpratns  for  tlie  Treatment  of  Fractures  of  the  Clayicle. 

Fig.  123. 
Levis'  Apparatus  for  Treatment  of  Fracture  of  the  Clavicle. 

Price,  5.00,  eacli,  for  either  size. 

{A)  is  a  wedge-shaped  pad  for  the  axilla,  which 
is  put  in  place  thick  side  up.  Two  straps  faste- 
ned to  this  pad  pass  directly  upwards,  and 
buckle  to  the  broad  supporting  band  on  the 
accromion  of  the  afflicted  arm.  This  band  is  then 
pass3d  across  the  back  and  over  the  shoulder  of 
the  sound  side,  and  terminates  in  front  of  the 
chest  {E').  A  sling  to  support  the  arm,  elbow 
flexed,  is  buckled  to  the  broad  baud.  A  strap 
(D)  is  attached  to  the  back  of  the  sling  a  short 
distance  above  the  elbow,  and  passed  obliquely 
across  the  back  and  buckled  to  the  supporting 
band  in  front.  The  extra  buckle  comes  in  play 
when  the  apparatus  is  to  be  reversed,  in  using  it  for  the  other  side.  The  shoulder 
is  kept  out  by  the  wedge,  up  by  the  sling,  and  back  by  the  strap  (2)). 

These  apparatus  are  made  of  four   sizes :    two   sizes   for   adults,  two  sizes   for 
children. 


Fig.  124.    Ricliardsoii's  Splint  for  Fractures  of  the  Clavicle, 

Scapula  and  Humerus. 

Price,  S  6.00. 

"  It  is  composed  of  three  parts,  and  has  three 
points  of  attachment,  viz.,  to  the  side,  axilla,  and 
arm. 

"  The  arm  and  body  pieces  are  semi-cylin- 
drical in  shape,  made  of  hard  rubber,  and  fasten- 
ed together  by  means  of  rivets,  with  sufficient 
space  left  between  them  to  allow  the  passage  of 
straps  of  adhesive  plaster.  The  crescentic  pad  is 
received  as  a  crutch  in  the  axilla. 

"  For  fracture  of  the  clavicle,  the  crutch  is 
crowded  firmly  in  the  axilla,  aiid  the  arm-piece 
secured  to  the  arm  by  circles  of  adhesive  straps  ; 
the  shoulder  is  then  raised,  and  the  arm  carriedbackwards  until  the  fragments  are 
brought  into  position,  when  the  bod^^-splint  and  crutch  are  secured  alike  by  straps 
of  plaster.     If  thought  desirable,  one  strap  may  be  passed  over  the  opposite  shoulder. 


Part  IV. 
67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store.  107  East  28th  St.,  N.  Y. 


77 


"For  fracture  of  the  scapula,  the  arm  is  carried  forward  instead  of  backward,  be- 
fore the  splint  is  secured  to  the  side. 

''For  fracture  of  tlie  humerns,  the  arm  is  secured  in  its  most  natural  and  easy- 
position.  In  all  other  respects  tlie  splint  is  adjusted  the  same  as  I'or  fractui'e  of 
either  of  the  above-mentioned  bones. 

"After  the  splint  has  been  applied,  tlie  arm  may  or  not  be  flexed  at  a  right  angle 
on  the  chest,  and  su})ported  by  a  sling  from  the  neck." 

Four  sizes  of  tliis  splint  are  made  :  two  for  adults,  and  two  for  children. 


FOX'S    CLAVICLE     BANDAGE,       Fig.  147. 

Price,  $5.00. 

Is  very  similar,  in  principle,  to  the  one  described  on  page  76. 


Figs.  125,  126, 127. 
Jayre's  Dressing  for  Fracture  of  the  Clavicle. 


(Extracted  from  the  A; 


Practitioner  'iox  July,  1871.) 


Fig.  125. 


"After  drawing  the  arm  backward  and  retaining  it  there  by  a  strip  of  adhesive 
plaster,  pass  another  piece  of  plaster  from  the  well  shoulder  across  the  back,  and  by 
pressing  the  elbow  well  forward  and  inward  the  first  plaster  around  the  middle  of 

the  arm  is  made  to  act  as  a  fulcrum,  and  the 
shoulder  is  necessarily  carried  upward,  out- 
ward, and  backward ;  and  the  plaster,  being 
carried  over  the  elbow  and  fore-arm  (which  is 
flexed  across  the  chest)  to  the  opposite  should- 
er, the  place  of  "starting,  and  then  secured  by 
pins  or  stitches,  permanently  retains  the  parts 
in  postion.  Strong  and  good  adhesive  plaster 
(Maw's  moleskin  is  the  best)  is  cut  into  two 
strips,  three  or  four  inches  wide  (narrower  for 
children) ;  one  piece  long  enough  to  surround 
the  arm  and  go  completely  around  the  body, 
the  other  to  reach  from  the  sound  shoulder  a- 
round  the  elbow  of  the  fractured  side  and  back 
to  the  place  of  starting.  The  first  piece  is 
passed  around  the  arm  just  below  the  axill- 
ary margin  and  pinned  or  stitched  in  the  form  of  a  loop  sufficiently  large  to  prevent 
strangulation,  leaving  a  large  portion  on  the  back  of  the  arm  uncased  by  the 
plaster.  The  arm  is  then  drawn  downward  and  backward  until  the  clavicular 
portion  of  the  pectoralls-major  muscle  is  put  sufiiciently  on  the  stretch  to  over- 
come the  sterno-cleido-mastoid,  and  tnus  pull  the  inner  portion  of  the  elavid-j 


Part  IV. 


78 


GEO,  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarke. 


Sayre's  second  bandage  for  Fractured 
Clavicle.     Back  view. 


down  to  its  level.  The  plaster  is  then  carried  smoothly  and  completely  around 
the  body,  and  pinned  to  itselfon  the  back  to  prevent  slipping',  as  seen  in  Fig.  125. 
This  first  strip  of  plaster  fulfills  a  double 
purpose  :  first,  by  putting  the  clavicular  por- 
tion of  the  pectoi'alis  major  muscle  on  the 
stretch,  it  prevents  the  clavicle  from  riding 
upward  ;  and,  secondly,  acting  as  a  fulcrum 
at  the  center  of  the  arm,  when  the  elbow  is 
pressed  downward,  forward,  and  inward,  it 
necessarily  forces  the  other  extremity  of  the 
humerus  (and  with  it  the  shoulder)  upward, 
outward,  and  backward  ;  and  it  is  kept  in 
this  position  by  the  second  strip  of  plaster, 
which  is  applied  as  follows ;  commencing 
on  the  front  of  the  shoulder  of  the  sound 
side,  drawing  it  smoothly  and  diagonally 
across  the  back  to  the  elbow  of  the  fractur- 
ed side,  where  a  slit  is  made  in  its*middle 
to  receive  the  projecting  olecranon.  Be- 
fore applying  this  plaster  to  the  elbow  an 

assistant  should  press  the  elbow  well  forward  and  inward  (figure  126),  and  retain  it 

there,  while  the  plaster  is  continued  over  the 
elbow  and  fore-arm  (pressing  the  latter  close  to 
the  chest,  and  securing  the  hand  near  the  oppo- 
site nipple);  crossing  the  shoulder  at  the  place  of 
beginning,  it  is  there  secured  by  two  or  three 
pins,  as  seen  in  figures  126  and  12T. 

When  this  has  been  done  the  deformity  will 
have  entirely  disappeared,  the  fractm^ed  bones 
will  be  accurately  adjusted,  and  as  long  as  the 
strips  of  plaster  maintain  their  position  no  amount 
of  force  can  displace  them,  I  have  repeatedly 
tested  this  fact  before  my  class  by  seizing  the  pa- 
tient by  the  arm  of  the  fractured  side  and  whirl- 
ing him  like  a  top  on  his  feet,  without  ever  caus- 
ing the  slightest  displacement  or  giving  the 
slightest  pain.  By  this  plan  of  treatment  the 
patient  is  only  detained  from  his  daily  advoca- 
tion a  suffi(dent  length  of  time  to  properly  adjust  the  strips  of  adhesive  plaster." 


Fig.  127. 


Sayre's  Dressing  for  Fractured  Calvicle. 
Front  view. 


Price  of  Adhesive  Plaster,  per  yard  $  .Y5 

Price  of  Moleskin  Adhesive  Plaster,  (spread  on  twilled  goods)  per  yard  $1.50 
Price  of  PoUei-  Bandage,  per  pound,  $1.50 


Part  IV. 

G7   CHATHAM    STREET,    NEW-YORK.  ^9 

Branch  Store,  107  East  28Tir  St.,  N.  Y. 


Pig.  128.    Hewit's  Splint  for  Colles'  Fracture. 

Price,  $7.00. 

Tliis  splint  is  designed,  in 
addition  t<j  its  function  as  a 
retentive  splint,  to  promote 
passive  motion  in  the  fingers 
and  wrist-joint  as  well  as  to 
give  support  to  the  hand.  It 
accomplishes  these  objects  as 
will  be  seen  by  the  cut,  by 
means  of  the  rod  connected 
with  the  bail  grasped  by  the  hand  and  is  joined  to  the  sliding-bar  on  face  of  the 
splint  by  ball  and  socket  joint.  This  joint  enables  the  hand  to  make  limited 
motions  of  flexion  and  extension,  and  also  of  pronation  and  suppination.  The 
natural  tendency  to  relax  and  contract  the  fingers  promotes  this  intention. 


Fig.  129.    Shrady's  Splint  for  Colles'  Fracture. 

Price,  $2.00. 

This  apparatus  was  devised  by  Dr.  Shrady  for  the  purpose  of  correcting  extreme 
deformity  in  cases  of  Colles'  fracture  of  the  radius.  It  is  calculated  to  keep  the 
hand  in  the  double  relation  to  the  forearm  of  flexion,  P^^   ^2^ 

and  of  deflexion  towards  the  nlnar  margin. 

Some  of  these  splints  are  made  with  a  short  hand- 
piece adapting  itself  to  the  palm  proper,  or  with  a 
long  hand-piece  extending  from  the  wrist  to  the  tips 
of  the  fingers.  For  the  employment  of  either  of  these 
forms  the  surgeon  must  of  course  be  governed  by  the  peculiar  indications  of 
the  case.  We  also  make  the  splints  with  adjustable  flexion  and  deflexion. 
.  The  fragments  being  placed  as  near  as  possible  in  apposition  by  flexing  the  wrist 
and  deflecting  the  hand,  the  splint  is  applied  to  the  palmer  surface  of  the  forearm. 
By  means  of  a  strip  of  adhesive  plaster  three  inches  in  width,  which  is  made  to 
form  a  sort  of  lateral  sling  or  loop  for  the  ulnar  portion  of  the  wrist,  the  tendency 
to  lateral  displacement  of  the  ulna  is  in  a  great  measure  overcome.     This  loop,  as 

seen  in  the  cut,  embraces  the  wrist  and  splints 
(the  usual  dorsal  splint  being  always  used).  The 
ulnar  margin  of  the  wrist  is  thus  in  a  sling  form- 
ed by  the  splints  and  the  plaster,  the  radial  mar- 
2;in  of  the  M' rist  being;  free. 

The  ulnar  margin  of  the  wrist  is  thus  made  a 
very  eflacient  fulcrum.  In  cases  ®i  extreme 
lateral  displacement,  a  suitable  margin  of  wood 
is  tacked  to  the  ulnar  margin  of  the  palmai 
splint  to  give  additional  purchase. 


TIEMANH&CO  NY 

a  a. — Splints. 

b  b  5.— Plaster. 

c  c  c. — Wrist. 

d. — Radial  margin  of  wrist. 


80 


Part  IV. 
GEO.  TIEMANN    &    CO.'S   SURGICAL    INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


The  splints  tire  kept  parallel  to  each  other  by  suitable  strips  of  plaster,  and  the 
hand,  by  the  same  means,  is  secured  to  the  hand-piece.  The  radius  tnid  ulna  are 
kept  in  their  proper  relations  to  each  other  by  the  usual  precaution  of  directing  the 
palmar  surface  of  the  forearm  and  hand  upwards  and  inwards  looking  towards  the 
lace,  the  whole  apparatus  being  suspended  at  a  right  angle  with  the  arm  by  a 
sling. 

In  order  to  prevent  undue  stiffness  of  the  wrist  and  fingers  by  too  long  confine- 
ment, Dr.  Slirady  advises  that  passive  motion  be  resorted  to  early,  and  persisted  in 
every  two  or  three  days.  This  is  done,  without  disturbing  the  fragments,  by 
grasping  the  apparatus  firmly  at  the  wrist  and  freeing  the  hand. 


Miscellaneous  Splints. 


DOUBLE    INCLINED    PLANES    OF    WOOD,    see    Fig.    116. 


Fig.  130.    Eodgen's  Suspending'  Apparatus. 


Price,     $  5.00. 


G     TIEMANN    i    CO. 


This  is  a  modification  of 
Nathan  E.  Smith's  Anterior 
Splint.     See  Figs.  102,  120. 

We  have  on  hand  Caevp:d 
Wooden  Splints  made  to  fit  the 
legs,  arms  and  liands. 

Hamstring  Splints  for  fracture 
of  the  patella,  in  sets  or  by  the 
pair  or    piece. 

Elbow  Splints,  plain  and  join- 
ted. 

Bond's  Splints,  Fracture  Boxes 
Guttapercha  and  Hatter's  Board, 
for  splinting. 

Detm old's  Suspension  Splints. 

Cane  Splints,  united  with  cop- 
per M'ire. 

And  make  to  order  any  other 
Fracture  Apparatus  desired. 


Price  of  Adhesive  Plaster,    per  yard,  -      -   - 

"     "    Moleskin         "       on  twilled  goods,  per  yard, 
''     "    Poller  Bandage,  per  lb.. 


.75 
1.50 
1.50 


Part  IV. 
G7   CHATHAM    STREET,    NEW    YORK.  81 

Branch  Store,  107  Eas'j-  2Hth  St.,  N.  Y, 

Pigs.  131,  132,  133.    Apparatus  for  deducing  Dislocations  and  for 
Extension  and  Counter-Extension. 


Fig.  131. 


Fig.  133. 


Fig.  133. 


Figs.  131, 132,133.     DislocationPulleysmadeof  brass,  witli  three  rollers,  a  strong 
steel  hook,  and  sufficient  cord.     Price  per  pair,  $7.00. 


Sayre's  Suspension  Apparatus,  Fig.  193. 

Andrew's  Apparatus  for  Inflamed  Joints,  Fig.  186,  &c. 


Part  IV. 

82  GEO.    TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmanis.  Edward  Pfarre. 

Fig.  134.    Levis'  Splint  for  Heducing  Dislocation  of  Phalanges. 

Price,    $1.50. 


To  apply  this  instrument :  The  finger  is  passed  through  the  loops,  and,  by  draw- 
ing on  the  tapes  and  then  winding  them  around  the  projecting  stem  in  opposite  direc- 
tions, and  finally  tying  them  together,  a  firm  grip  is  obtained.  This  enables  the 
operator  to  apply  both  extension  and  flexion,  or  leverage  in  any  direction.  The 
proximal  end  of  the  phalanx  may  be  lifted,  or  even  rotated,  so  as  to  allow  one  side 
of  the  bone  to  approach  the  socket  before  the  other.  It  is  a  simple  atid  cheap  instru- 
ment, but  one  that  every  surgeon  ought  to  possess.     Fig.  135  represents  it  applied. 

Fig.  135. 


Fig.  136.    Luer's  Forceps  for  Luxation  of  Fingers  or  Toes. 


Price,   $8.00. 


This  instrument  is  made  in  the  shape  of  a  pair  of  forceps,  the  strong  jaws  of  which, 
m  place  of  being  concaved,  are  bifurcated,  and  carry  between  their  rods  straps  of 
strong  webbing,  doubled  and  drawn  over  them;  A,  the  spaces,  being  filled  up  by 
slices  of  cork  or  india  rubber.  This  construction  and  the  length  of  the  arms  of  the 
lever,  exercise  suflicient  power  to  seize  and  hold  tlie  luxated  member  without  con- 
tusing the  soft  parts. 

Marine  Lint,  in  a  tin  box,  weighing  about  one  pound,  price,  $  1.00. 


Part  IV. 

67   CHATHAM   STREET,   NEW-YORK.  .  33 

Branch  Store,  107  East  28th  St.,  N.  Y. 

Fig.  137.     Charriere's  Luxation  Forceps. 

Price,  $9.00. 


This  pair  of  forceps  is  jointed  like  a  compass.  The  jaws  consist  of  forks  of  two 
stems  each,  equi-distant,  to  which  four  leather  straps  are  fastened,  intercrossing  each 
other  in  such  a  manner  as  to  form  a  double  floating  knot.  A,  that  opens  or  shuts  as 
the  handles  of  the  forceps  are  approached  or  separated.  The  action  of  this  double 
knot  is  regulated  bj  a  screw  and  two  nuts,  C,  B,  enabling  the  operator  to  diminish, 
augment,  or  fix  the  amount  of  pressure  at  will. 


Fig.  138.    Stanchion  for  Counter-Extension  in  Application  of 

Plaster  Paris  Dressings. 

Price  $5.00  to  $  10.00. 

(Extracted  from  The  Principles  and  Practice  of  Surgery,  by  F.  H.  Hamilton.) 

"  The  following  is  the  usual  mode  of  applying  this  dressing 
at  Bellevue :  The  patient  is  placed  with  his  nates  overhanging 
one  corner  of  a  table,  or  with  his  body,  shoulders  and  head 
resting  upon  a  mattress  elevated  by  blankets  about  one  foot 
from  the  table,  but  terminating  about  two  feet  from  its  lower 
end.  The  perineum  is  pressed  against  an  iron  stanchion, 
which  is  firmly  screwed  upon  the  lower  end  of  the  table,  and 
wound  with  heavy  flannel  cloth.  The  nates  are  then  sus- 
pended by  a  sling  which  passes  under  the  small  of  the  back 
and  w^hich  is  supported  by  a  wooden  bar  projecting  horizontal- 
ly from  the  top  of  the  stanchion  to  some  point  of  support  of 
equal  elevation  beyond  the  head.  Compound  pulleys  are  now 
attached  to  the  foot,  and  the  exhibition  of  the  anaesthetic 
commenced.  In  some  cases,  as  is  represented  inFig.  139,  a 
plaster-of-paris  bandage  is  first  applied  to  the  foot  and  lower 
portion  of  the  leg,  an  hour  or  two  before  the  fracture  is  re- 
duced, and  when  this  has  become  hard,  ,  the  extension  is 
applied.  The  patient  being  fully  under  the  influence  of  the 
anaesthetic,  traction  is  made  upon  the  pulleys  until  the  short 
ening  is  supposed  to  be  overcome  and  the  fracture  reduced. 
The  direction  of  the  extension  must  be  in  the  line  of  the  axis 


Pakt  IY. 


84 


GEO.  TIEMANN   &   CO.'S   SURGTCAT,    INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  139. 


of  the  body,  it  liaving  been  observed  that  when  the  plaster  is  applied  with  the  limb 
abducted,  too  much  pressure  is  brought  upon  the  perineum  when  the  limb  is  again 

dropped  into  line;  and  if  the 
limb  is  adducted  when  the 
plaster  is  applied,  the  dressing- 
will  be  too  loose  about  the 
groin  in  the  straight  position. 
The  bandages,  saturated  with 
plaster,  are  applied  over  the 
whole  limb,  from  below  up- 
wards, including  the  pelvis. 
Occasionally  the  successive 
turns  of  the  roller  are  reinforc- 
ed by  broad  pieces  of  flannel 
or  of  patent  lint,  dipped  in 
the  fluid-plaster.  The  num- 
ber and  thickness  of  the 
successive  layers  must  be 
determined  by  the  apparent 
necessities  of  the  case,  gener- 
ally four  or  five  layers  of  roller  being  required,  at  least  upon  the  thigh.  I  have 
omitted  to  state  that  excoriations  caused  by  the  dressings  have  been  noticed  most 
frequently  in  the  groin  and  gluteal  fold;  this  may,  however,  be  avoided  by  placing 
a  heavy  piece  of  dry  flannel  over  these  parts  previous  to  the  application  of  the 
plaster.  The  dressing  being  completed,  the  extension  is  continued  fifteen  or  twenty 
minutes  until  the  plaster  has  become  hard. 

Fig.  140 


"In  case  the  plaster  was  not  applied  to  the  fuoc  and  lower  portion  of  the  leg  prior 
to  the  dressing  of  the  fracture,  this  may  now  be  done  ;  or  the  patient  may  be  laid  in 
bed  and  permitted  to  recover  from  the  influence  of  the  ansesthetic  before  completing 
the  dressing.     On  the  second  or  third  day,  after  the  reduction  of  the  fracture,  most 


Pakt  IV. 
67  CHATHAM   STREET,    NEW-YORK. 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


85 


of  our  patients  have  been  permitted  to  go  about  on  crutches ;  a  practice  which, 
although  it  seems  to  be  attended  with  certain  hazards,  possesses  at  least  this  advan- 
tage, that  it  enables  the  patient  to  preserve  his  general  health.  It  is  not  itnprcjbable, 
also,  that  it  prevents  that  atrophy  and  shrinkage  of  the  limb  which  would  otherwise 
ensue,  and  which,  when  it  occurs,  renders  it  necessary  to  open  and  re-adjust  the 
dressings." 


Crutches. 


Fig.  141.    Cnitches. 

Whittemore's  Patent,  Lancewood,  rubber  bottoms,  per  pair,  $12.00 
Whittemore's  Patent,  Maple  wood,  rubber  bottoms,  per  pair,  1 1 .00 
Plain  Maple  Crutches,  per  pair,  .  _  .  .     7.00 

Plain  Hickory  Crutches,  per  pair,  -  -  -  4.00 

Hickory  Crutches,  rubber  bottoms,  per  pair,  -  -  -     5.00 

Children's  Crutches,  per  pair,  -         -  -        $3.00  to  5.00 

Sockets  for  Crutches  with  rubber,  per  pair,    -  -  -     4.00 

Crutch  rubbers,       ------  .45 


Pig.  142.    Folding  Litter  for  Carrying  Wounded  Persons. 


Litters  of  all  patterns  made  to  order  at  various  prices,  depending  upon  style  and 
finish. 


In  these  pages  we  have  enumerated  and  described  some  of  the  most  useful 
apparatus  in  common  use  in  America  and  Europe.  There  are  many  other  applian- 
ces resorted  to  in  hospitals  and  private  practice,  which  we  shall  be  happy  to  furnish 
on  application.  New  devices  are  carried  out  according  to  the  views  of  surgeons 
favoring  us  with  their  orders. 


Tart  IV. 

GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 
F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  143a,  143TD.    Barwell's  Sayre  Shoe. 

Dr.  liicHAJiD  Baewjsll  on  Infantile  Paralysis  and  its  Resulting  DefoemitieSo 

Extracted  from  the  London   Lancet,     Feb.   1S74. 

Price  for  one  Slioe,  $15.00. 
Price  lor  a  pair,        $  30.00. 

Fig.  143.  (a)  ,     ^         ,..,,.,  .  T  11        ,.   1 

A  shoe  divided  m  the  middle  oi  the 

sole  (medio-tarsal  joint),  the  front  half 
connected  with  the  posterior  part  by  a 
ball  and  socket  joint.  The  upper- 
leather  of  back  and  front  of  the  foot  is 
similarly  separate ;  thus  an  india-rub- 
ber spring  attached  to  the  upper  bar 
enables  the  surgeon  to  work  on  the 
front  of  the  foot  upwards,  inwards,  or 
outwards,  according  to  the  deformity. 
Satee  Shoe,  as  modified. — On  both 
sides  of  the  ankle  are  hinged  iron  rods 
supporting  calf  band,  and  chain  with 
india-rubber  spring  either  for  inside 
or  outside  of  foot;  on  the  outer  side 
'also  another  spring,  running  along  the 
outer  border  of  the  sole,  may  be  used 
to  overcome  adduction. 
I  found  that  the  ball  of  the  joint  in  the  original  Sayre  shoe,  being  somewhat  bulky, 
was  apt  to  weai-  out  on  the  lower  part,  and  the  entire  separation  of  the  heel  from  the 
front  of  the  foot  permits  water  to  enter  and  keep  the  stocking  wet.  To  obviate  the 
former  inconvenience,  I  proposed  to  resolve  the  compound  movement  of  ball  and 
socket  joint  into  its  three  elements,  and  have  carried  out  that  idea  m  the  manner 
represented  in  Fig.  143a. 

The  shoe  thus  modified— nnd  1  must  beg  my  friend  Di\  Sayre  to 'pardon  my 
making  any  change  in  his  admirable  inventions — answers  every  purpose  extremely 
well,  especially  while  a  tolerably  marked  deformity,  though  not  a  severe  one,  still 
exists.  It  is  especially  ad;ipted  to  the  middle  phase  of  clubfoot,  and  is  by  far  the 
best  instrument  yet  invented  for  the  treatment  of  this  disease.  For  cases  less  se- 
vere or  further  recovered  I  have  invented  the  following  apparatus,  which,  unlike 
most  others,  is  worn  inside  an  ordinary-looking  boot,  and  attracts  no  attention  to  the 
limb.  My  patients  thus  walk  in  the  street,  and,  the  lameness  being  overcome,  noth- 
ing unusual  is  observed. 

The  sole  of  modified  Sayre  shoe,  showing  the- three  movements  into  which  ball 
and  socket  movement  is  resoh  ed  :  pivot  (rotation)  behind,  fiexion  in  middle,  and 
abduction  and  adduction  in  front. 


Pai.t  IV. 


67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store.  107  East  28-i'h  St.,  N.  Y. 


87 


Fij?.  143.  (b)  rpj^^  g^^j^  ^^  made  of  steel,  of  spring  temper, 

rather  thicker  than  a  calling  card,  jointed  in  the 
medio-tarsns  for  abduction  and  adduction  only, 
and  that  merely  for  those  cases  where  necessary. 
Eversion  or  inversion,  flexion  and  extension,  are 
produced  by  the  bend  and  twist  of  the  steel  sole. 
The  lappets  for  lacing  are  of  a  strong  cotton 
material.  From  the  heel  on  the  outer  side  runs 
upward  a  metal  rod  to  a  level  with  the  ankle- 
joint,  at  which  point  is  hinged,  in  the  sense  of 
flexion  and  extension,  a  steel  spring,  connected 
above  to  a  calf  piece.  This  spring  is  to  be  bent 
outward  or  inward,  according  as  the  cases  is  val- 
gus or  varus. 

To  put  on  this  shoe  its  whole  sole  is  to  be 
turned,  so  as  to  fit  on  the  sole  of  the  foot,  and 
the  front  part  twisted  inward  or  outward,  as  necessary  for  either  deformity,  so 
that  while  the  sole  of  the  shoe  is  fitted  and  adapted  to  that  of  the  foot,  the 
front  lappet  is  laced ;  and  then,  while  still  keeping,  by  manual  pressure,  the 
shoe-sole  fitted,  the  back  lappet  is  also  laced.  This  being  completed,  the  steel  spring 
is  brought  to  the  leg,  and  the  calf-piece  adapted,  while  the  shoe-sole  and  front  of  the 
apparatus  is  released.  By  this  means  every  part  of  the  foot  is  subject  to  spring- 
pressure — the  front  to  the  bend  and  twist  of  the  spring  sole,  the  back  to  the  action 
of  the  vertical  spring.  Besides  this,  however,  and  to  supplement  any  deficient  force, 
india-rubber  springs  are  stretched  from  the  calf-piece  to  the  sole;  and,  if  necessary, 
an  abduction  spring  is  carried  along  the  outer  side.  All  this  appai'atus  is  concealed 
by  an  ordinary  boot,  if  for  a  boy  wearing  trowsers;  if  for  one  wearing  knicker- 
bockers, or  for  a  girl,  the  boot  called  "polonaise,"  coming  high  on  the  leg,  may  be 
used. 

This  form  of  mechanical  shoe  I  have  found  very  valuable  in  the  cases  of  lameness 
I  have  described  as  jactus  internus  and  externus;  also  in  cases  of  paralytic  clubfoot 
in  the  stage  of  recovery.  Of  course,  with  all  and  every  of  the  contrivances  above 
described,  patient  and  persistent  galvanism,  as  also  injection  of  strychnia,  must  be 
employed. 


KOHLAND'S  STYPTIC  COTTOlSr. 

Price,  per  box,  35  cents. 

Promptly  arrests  bleeding,  either  active  or  passive  hemorrhages.  Apply  a  thin 
layer  of  this  cotton  with  gentle  f)ressure  to  the  surface  of  the  bleeding  wound.  If 
desired,  it  can  be  easily  removed  a  few  minutes  after  application,  althougli  the 
healing  process  will  be  accelerated  by  leaving  it  on.     It  should  be  kept  dry. 


Part  IV. 

88  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stoitlmann.  Edward  Pfarre, 

Pig.  144.    Shaffer's  Lateral  Screw,  for  atducting  or  adducting 
the  thigh  in  hip-joint  disease. 

Dr.  ISTewton  M.  Shaffer  says  {^ ^Archives  of  Clinical  Surgery,''''  June  15tli, 
1877):  "I.  liave  devised  what  I  liave  called  a  "lateral  screw,"  which  allows 
extension  in  any  direction  that  is  indicated,  and  which  at  the  same  time  can  be 
made  to  act,  without  removing  the  splint,  as  an  adductor  or  an  abductor  of  the 
limb,  at  the  pleasm-e  of  the  surgeon.  It  can  be  attached  to  Dr.  Taylor's  splint 
in  the  same  manner  as  his  "abduction  screw." 


No.  1. 


No.  2. 


Nos.  1  and  2  represent  the  "lateral  screw,"  as  applied  to  one  of  Taylor's 
splints.  1  shows  the  shaft  adducted, — 2,  abducted.  By  simply  turning  the  screw 
at  /S',  the  shaft  of  the  splint  can  be  made  stationary  at  any  point  between  the 
extremes  indicated  in  the  engravings.  By  using  the  screw,  when  the  splint  is 
adjusted,  the  surgeon  is  enabled  to  gradually  and  very  gently  change  the  position 
of  the  limb  at  will. 

The  "lateral  screw"  (No.  3)  consists  of  two  parts,  A  and  B,  joined  together 
by  the  lateral  hinge,  C.  The  part  A  is  fastened  to  the  pelvic  band.  The  part  JJ 
is  attached  to  the  shaft  of  the  splint.  Through  the  everted  lip,  D,  there  passes  a 
screw,  8,  which  operates  through  a  button  (which  revolves  on  a  horizontal  axis) 
and  which  is  fastened  into  another  button  (also  revolving  on  a  horizontal  pivot) 
in  the  part  A.  By  turning  this  screw  we  can  either  approximate  the  lip  D  toward 
the  part  A  (producing  abduction),  or  by  reversing  the  screw  we  can  separate  D 
from  A,  and  adduct.  E,  E,  represent  the  screw  bolts,  by  which  the  apparatus  is 
attached  to  the  hip  band  and  shaft  of  the  sj^lint. 


Pat:t  IV. 

67  CHATHAM  S'lKEET,  NEW-YORK. 
Branch  Storf,  107  East  28th  St.,  N.  Y. 


89 


No.  3.  Before  the  splint  is  applied  tlie  screw  .slioiild  be  turned  as  tlio  cir- 

cumstances indicate  until  tlie  direction  of  tlie  sliaft  of  the  splint  cor- 
responds witli  the  position  of  the  linil).  After  adjustment,  extension 
is  applied,  in  the  "line  of  the  deformity,"  and  no  attempt  should  he 
made  to  overcome  the  contraction  by  the  use  of  the  screw,  for  sevei-al 
days.  It  should  then  be  used  very  gently.  It  is  better  to  imitate 
the  force  of  gravity,  by  whicli  flexion  is  generally  so  readily  over- 
come, and  only  "follow  up"  the  contractions  as  they  are  modified 
by  the  extension,  immobilization  and  the  proper  therapeutical  adju- 
vants. If  we  use  the  screw  to  abduct^  the  ordinary  perineal  pads, 
which  form  the  basis  of  the  counter  extension,  will  also  be  the  point 
of  resistance.  When  we  use  the  screw  to  adduct^  it  will  be  neces- 
sary to  supplement  \X\% perineal  with  shoulder  straps,  and  to  apply 
a  little  more  extension  than  is  required,  so  that  as  we  use  the  "lateral  screv;," 
the  extra  force  may  be  transferred  to  and  lost  upon  the  shoulders.  Adequate 
extension  and  adduction  are  thus  obtained.  We  should  also  secure  the  hip  band 
firmly  by  the  padded  strap,  which  completes  the  circumference  of  the  pelvis.  In 
order  to  secure  the  shoulder  straps  in  position,  we  cross  them  as  they  pass  upward 
from  the  hip  band  to  the  shoulders  on  both  the  anterior  and  posterior  walls  of  the 
thorax.  It  is  also  necessary  to  secure  the  pelvic  band,  so  that  its  anterior  half 
will  form  a  slightly  acute  angle  with  the  shaft.  This  may  be  done  with  webbing 
straps. ' ' 


Pig.  145.    Holthouse's  Spiral  Spring  Extender  for  Joint  Diseases. 


Price,  $10.00  to  $15.00. 


The  apparatus  consists  of  a  spiral  spring, 
covered  witli  leather,  flannel  or  linen,  and 
having  two  buckles  at  one  or  both  extremities. 
When  extended,  it  forms  a  cylinder  closed  at 
the  sides  but  open  at  each  end ;  and  when  the 
coils  of  the  spring  are  pressed  together  it  ap- 
proaches in  form  to  a  discoid  ring  or  closed 
concertina,  it  need  not,  however,  necessarily 
be  cylindrical,  but  largei-  at  one  end  than  the 
other  in  conformity  with  the  ta^Dering  shape 
of  the  limb.  It  can  be  inade  of  any  length, 
size  or  strength ;  and  the  traction-force  exerted 
can  be  regulated  with  the  utmost  exactness. 


Part  IV. 

90  GEO.  TIEMANN  &  CO.'S  SUReJCAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre.    «■ 

Fig.  146.    Shaffer's  Knee  Splint. 

In  the  ''^Archives  of  Clinical  Surgery^''''  for  June  15th,  1877,  Dr.  I^ewton  M. 
Shaffer  renicarks :  "I  have  attempted  to  meet  the  pathok)gical  indications  presented 
in  knee  joint  lesions  with  an  apparatus  which  I  devised  some  time  ago.  Its  design 
is  to  apply  the  desii'ed  force  directly  to  the  head  of  the  tibia,  throwing  the  same 


forward  and  downward  by  a  simple  movement.  While  we  thus  overcome  the 
muscular  contraction  in  a  direct  Ime,  we  relieve  the  joint  jiressure  and  overcome 
the  deformity  simultaneously.  The  a23paratus  is  re23resented  in  the  accompanying 
engraving.  It  consists  of  three  principal  parts :  tlie  thigh,  leg  and  intermediate. 
The  first  two  are  secured  to  the  limb  by  adhesive  plasters  which  are  attached  at 
the  points  A^  A.  Extension  is  made  with  a  key  at  the  extension  rod  proper  at  JB. 
The  joints,  at  0  and  Z>,  move  upon  pivots,  and  as  the  extremities  of  the  appa- 
ratus are  secured  by  their  adhesive  straps  at  JL,  A,  the  joint  D  moves  forward  and 
downward,  describing  the  arc  of  a  circle,  the  radius  of  which  is  the  bar  E. 
Pressure  is  thus  made  directly  upon  the  head  of  the  tibia  by  the  band  F^  and  this 
can  be  very  greatly  augmented  by  using  the  extension  rod  at  G^  which  further 
relieves  the  joint  of  pressure  by  additional  extension  in  the  position  already 
acquired  by  the  preliminary  extension  of  the  rod  B.  His  an  accommodation — not 
properly  an  extension  rod — which  glides  forwards  as  the  extension  is  applied  at 
B.  As  soon  as  the  leg  is  thrown  sufficiently  forward,  the  accommodation  rod  is 
secured  by  a  slide,  and  an  extra  turn  of  the  key  at  B  and  G  leaves  the  joint  free 
from  pressure,  and  with  adequate  extension  aj)plied  directly  to  the  contracted 
flexors.  The  thigh  and  leg  bands  at  If  and  /  move  upon  pivots  so  that  they 
adjust  themselves  readily  to  any  position,  and  at  If  there  is  an  arrangement  by 
which  the  curved  bar  Z  may  be  adjusted  to  suit  the  requirements  of  the  extension 
rod  B.  The  bars  J/ and  O  are  secured  to  the  thigh  and  leg  parts  by  double 
rivets.  Through  the  buckles,  at  P,  P,  P,  webbing  straps  (padded)  are  passed, 
producing  counter  extension  in  addition  to  that  secured  by  means  of  the  adhesive 
straps. ' ' 


Part  lY. 

67  CHATHAM   STREET,    NEW   YORK, 
Branch  Stoke.  107  East  28Tir  St.,  N.  Y. 


91 


Fig.  147.    Fox's  Apparatus  for  Fracture  of  the  Clavicle. 


Price,  $5.00. 

It  consists  ofa  padded  ring  Vv'itli  buckles  attacti- 
ed,  which  fits  over  the  sound  slioulder  ;  and  of  a 
wedge-shaped  pad  fitting  the  axilla  of  the  injur- 
ed side.  On  the  top  of  this  pad,  pieces  of  weh- 
bing  are  fastened,  one  of  which  is  to  be  passed 
anteriorly  over  the  chest  and  buckled  to  the  ring 
over  the  sound  arm  ;  tlie  other  over  the  posterior 
wall  of  the  thorax,  and  fitted  to  the  posterior 
portion  of  the  ring,  a  sling,  made  of  stout  linen 
or  other  material,  in  length  about  two-thirds  of 
the  forearm,  and  in  depth  sufficient  to  cover  it 
completely,  is  then  applied  to  the  elbow  and  se- 
cured tightly  to  the  ring. 


Fig.  148.    Hamilton's  EITdow  Splint. 

It  is  made  of  gutta-percha,  moulded  to  fit  the  shoulder,  arm,  and  forearm  ;  must 
be  well  padded,  placed  upon  the  limb  and  secured  by  roller  bandage. 

The  forearm  should  be  placed  at  a  right 
angle  with  the  humerus,  and  maintained  in 
this  position  by  a  right  angled  splint.  The 
gutta  percha  splint,  covered  with  a  Avoolen 
or  cotton  sack,  is  first  secured  to  the  fore- 
arm by  a  roller;  and  then,  in  a  case  ot  irac- 
ture  of  the  humerus  above  the  condyles, 
while  extension  is  made,  the  upper  portion 
of  the  splint  is  secured  to  the  arm  in  a  sim- 
uiar  manner.  The  front  or  bend  of  the 
elbow  should  always  be  well  covered  with 
cotton  batting  before  enclosing  the  elbow- 
joint  in  the  turns  of  the  roller. 

Price  of  Gutta  Pereha  for  Splinting: 
thick,  per  pound,  $3.00 

thin,       "       "  5.00 

Roller  Bandage,  per  pound  1.50 


Dislocation  Pulleys,  (See  Fig,  131),  per  pair,  $7.00. 


92 


Pakt  ly. 

GEO.  TIEMANN   cS:   CO.'S   SURGICAL   INSTRUMENTS, 
F.  A.  Stohlmann. 


Edward  Pfarre. 


Fig.  149.   Apparatus  for  Fracture  of  Surgical  Ueck  of  Humerus. 

The  fragments  being  reduced  as  well  as  possible,  a 
single  splint,  made  of  leather,  felt,  or  giitta  perclia,  long" 
enough  to  extend  from  the  acromion  process  to  the  elbow 
joint,  must  be  applied  to  the  outside  of  the  arm,  enclosing 
about  one  half  of  the  circumference  of  the  limb.  This 
should  be  moulded  and  allowed  to  become  dry  and  hard 
before  it  is  secured  to  the  arm.  A  second  short  splint 
should  be  laid  on  the  inside  of  the  arm;  both  of  these 
splints,  having  previously  been  covered  with  a  sack  of 
M'oollen  cloth,  are  then  to  be  made  fast  to  the  arm  bj  a 
roller;  and  finally,  the  forearm  being  flexed  upon  the  arm 
and  suspended  by  a  sling  passing  under  the  wrist,  the 
arm  must  be  secured  to  the  side  of  the  body  by  a  separate- 
roller.     (Hamilton's  Surgery). 

Fig.  150.    Mayor's  Apparatus  for  Dislocated  Clavicle. 

The  outer  or  acromial  end  of  the  clavicle  is  not  unfrequently  dislocated  upwards 
and  m.ore  rarely  it  is  driven  fairly  over  the  acromion  process,  constituting  a  disloca- 
tion upwards  and  outwards.  This  dislocation  is 
easily  reduced,  but  the  clavicle  is  with  difficulty 
retained  in  place.  The  treatment  consists  in  the 
application  of  a  force  over  the  top  and  outer  end 
of  the  clavicle,  with  a  counter-force  applied  below 
the  elbow,  so  as  to  elevate  the  humerus  and  scap- 
ula, while  the  arm  and  forearm  are  confined  by  a 
sling  and  bandage  against  the  side  and  front  of 
the  body.     (  Figs,  c  a). 

These  indications  will  be  fulfilled  by  Mayor's 
apparatus. 

Price  of    Mayor's  apparatus   for  dislocated 

Clavicle,  .  .  .  .   1 5.00 

Gutta  Percha  for  Splinting,  per  lb.,  -  3.00  5.00 


Extra  Fine  Htpodekmic  Points. — Dr.  Wm.  A.  Green  Avrites  in  his  "Practical 
Talk  about  Hypodermic  Medicine:"  I  have  recently  had  Tiemann  &  Co.  to 
manufacture  for  me  the  most  delicate  and  smallest  point  or  needle  that  has  ever 
been  made,  only  a  little  larger  than  the  proboscis  of  a  fly,  so  delicate,  in  fact,  that 
fluids  thin  as  water  barely  pass  through  them,  and  that  quite  slowly.  This  in  the 
hands  of  a  physician  of  ordinary  skill,  can  be  passed  through  the  coats  of  the  skin 
into  the  cellular  tissue  positively,  without  pain.  The  smaller  the  point  the  less 
the  pain.     This  delicate  point,  they  have  succeeded  in  making  with  exactness. 


Pakt  lY. 

67  CHATHAM    STREET,    NEW-YORK.  93 

Branch  Store,  107  East  28Tir  St.,  N.  Y. 


Fig.  151.    Heduction  of  Dislocated  Radius  and  Ulna. 


Fig.  152.    Geo.  Tiemann  ^  Co.'s  Improved  Wire  Arm  Sling. 

Price,  $4.50. 

With  sliding  extension  splint  for  the  hand,  to  facilitate  passive  motion  of  the 
wrist,  without  removing;  the  support. 

Fk;    152a.  Fig.  152b. 


Eoller  Bandage,  per  pound,  -  -  -  - 

Adhesive  Plaster,  per  yard, 

Strong  Adhesive  Plaster,  on  twilled  goods,  per  yard, 


$1.50 

.To 

1.50 


94 


Pakt  IV. 

GEO.  TIEiMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 
F.  A.  Stohl.mann.  Edward  Pfarre. 


Fig.  153.    Clark's  Apparatus  for  Fracture  of  the  Olecranon. 


Price,  $  5.00  to  $  8.00. 


Clark's  apparatus  consists  of  a  band  of  ordinary  sole  leather,  about  two  inches, 
in  width,  and  of  sutiicient  length  to  surround  the  arm,  lined  with  cloth  or  chamois 
and  well  padded  with  hair  or  cotton.  In  order  to  give  the  band  additional  firmness, 
and  also  to  secure  it  around  the  arm,  a  strip  of  harness  leather  is  stitched  upon  the 
outside,  to  one  end  of  which  two  small  buckles  are  attached,  while  the  other  end, 
which  extends  about  three  inches  beyond  the  band,  is  split  or  cut  in  two  straps  to 
correspond  with,  and  fasten  into  the  buckles.  The  band  is  fastened  around  the 
arm  above  the  fractured  process,  and  may  be  drawn  to  any  degree  of  tightness 
necessary  to  bring  the  broken  fragment  down,  when  traction  is  made. 


Fig.  154.    Smith's  Anterior  Suspending  Splint  in  the  Treat- 
ment of  Fractures  of  the  Lower  Extremity. 

By  Charles  Shrimpton,  ]\I.    D.,  Paris. 

Price,  $3.00. 

Tlie  apparatus  is  of  itself  extremely  simple  :  a  splint  made  of  two  parallel  wires 
of  sufticient  length  to  extend  from  above  the  anterior  superior  spinous  process  of  the 
ilium  to  beyond  the  extremity  of  the  toes,  a  suspending  cord,  some  wadding,  and 
some  bandages.  The  suspending  cord  is  formed  of  two  parts,  one  to  hang  perpen- 
dicularly from  its  support,  the  other  with  a  hook  at  each  end,  to  be  attached  to  tlie 
sliding  bars  of  the  splint.  This  part  of  the  cord  passes  through  a  pulley,  which  is 
hooked  to  the  extremity  of  the  perpendicular  cord.  The  perpendicular  cord,  is 
double,  with  a  block  in  the  middle,  so  that  the  limb  may  be  raised  or  lowered  by 
lengthening  or  shortening  the  cord  at  will.  The  wadding  to  be  placed  on  the 
surface  of  the  limb  before  the  splint  is  applied.  A  double  stout  band  to  pass  around 
the  pelvis,  and  fix  the  upper  part  of  the  splinf.  Five  short  pieces  of  band,  one  to 
pass  around  the  foot  and  the  splint,  two  in  the  same  way  around  the  \eg,  and  two 
around    the  thigh  to  keep    the  splint  iu  place  whilst  it  is  being  adjusted.     Several 


RvnT  IV. 
67   CHATHAM   STREET,    NEW-YORK.  05 

Branch  Store,  107  East  28-i-jr  S'l.,  N.  V. 

strong  rollers  to  be  applied  to  the  whole  length  of  the  liuil)  to  rei)la(;e  the  short 
bands,  which  are  to  he  withdrawn  us  the  roller  is  applied. 

The  cut  represents  the  splint  in  situ  before  the  roller-bands  are  applied.  The 
limb  ib  supported  by  the  temporary  short  bands.  The  wadding  has  been  with- 
drawn to  show  that  the  wires  cease  to  touch  the  limb  as  soon  as  it  is  suspended. 

Yery  little  remains  to  be  said  in  describing  the  mode  of  ap])lication  of  the  splint. 
The  fractured    limb  should    be  left,  as  it    may  then  be,    until  the  splint    has    been 

Fig.  154. 


adapted  to  the  sound  limb,  in  order  to  take  its  exact  length,  bends,  &c.  The 
suspending  cord  being  now  fixed,  and  the  splint  prepared  with  a  bend  correspond- 
ing to  the  groin  of  the  fractured  limb,  we  may  proceed  to  suspend  the  limb.  The 
large  double  thick  band  is  to  be  attached  to  the  upper  part  of  the  extremity  of  the 
splint  and  passed  lirmly  round  the  pelvis.  The  wadding  is  to  be  placed  on  the 
front  part  of  the  fractured  limb  to  receive  the  splint,  and  the  short  bands  are  now 
to  be  tied  lightly  round  the  foot,  leg,  and  thigh.  This  done,  the  limb  can  at  once 
be  suspended  by  the  cord  without  any  attempt  at  reduction,  and  the  reduction  will 
take  place  almost  of  itself  by  the  mere  weight  of  the  limb.  As  soon  as  the  splint 
is  perfectly  adjusted  ^araZ^eZ  to  the  axis  of  the  livih  the  rollers  may  be  lightly  ap- 
plied, leaving  any  part  requiring  dressing  free  from  every  kind  of  bandage.  The 
wounds  may  thus  be  attended  to  without  interfering  in  any  way  with  the  rest  of 
the  apparatus.  Extension  and  counter-extension  are  necessary  only  to  bring  the 
limb  to  the  length  ot  the  splint  whilst  the  rollers  are  being  applied. 


Price  of  Adhesive  Plaster,  per  yard  $  .75 

Price  of  Moleskin  Adhesive  Plaster,  (spread  on  twilled  goods)  perj^ard  §1.50 
Price  of  Roller  Bandage,  per  pound,  $1.50 


96 


Part  IV. 

GEO.  TIEMAXN   &   CO.'S   SURGICAL   INSTRUIMENTS, 
F.  A    Stohlmann.  Edward  Pfarre. 

Fig.  155.    Shrimpton's  Forceps, 


For  bending  Smith's  Anterior  Splint  while  in  situ,  to  adapt  it  to  the  limb. 

Price,  $3.00. 


Fig.  156.    Salt's  Cradle  or  Swing. 

Price,    $20.00. 


For  protecting  a  fractured  limb  from  the 
pressure  of  the  bed-clothes,  and  to  permit 
change  of  position  without  the  risk  of  dis- 
placing the  bones.  It  is  a  frame  resting 
upon  the  bed  and  having  on  its  central  bar 
a  small  railway,  upon  which  travels  two 
pulleys,  suspending  by  a  chain  the  wound- 
ed limb  (placed  in  such  splinting  as  the 
surgeon  may  select)  and  protecting  it  from 
all  external  pressure. 


Fig.  157.    Clark's  Splint. 


Price,  $  30.00. 


Pakt  IV. 

67   CHATHAM    STREET,   NEW-YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


97 


The  attacliineiit  for  extension  is  by  means  of  adhesive  strips  (m)  extending  to  near 
tlie  knee  and  passing  around  a  foot-piece  (v.)  to  which  is  attached  a  snj?]l  Ijracket  {h) 
which  liooks  over  tlie  lower  end  of  the  main  s))lint.  Then  the  limb  is  suspended 
by  four  liooks  {dd)  whicli  are  attached  to  thimbles  that  slide  back  and  forth  upon 
the  bar,  and  are  fixed  at  the  desired  point  by  means  of  thumb-screws  in  their  outer 
sides.  Extension  is  made  by  means  of  the  cord  (c),  attached  to  tlie  hook  in  the  pul- 
ley at  (s),  passing  forward  between  the  cords  playing  over  the  pulley  at  (o),  to  drop 
over  the  pulley  (g),  fixed  in  a  post  at  the  foot  of  the  bed,  and  then  attached  to  a 
sand-bag  of  sufficient  weight  to  make  the  necessary  amount  of  extension.  The 
weight  ordinarily  required  for  an  adult  is  from  ten  to  fifteen  pounds.  A  uniform 
traction  is  exerted  upon  the  limb,  in  whatever  position  the  body  of  the  patient  may 
be  placed. 

Fig.  158, 159.    Morgan's  Fracture  Bed. 

Fig.  158. 


Fig.  159.  Represents  the  bed  and  a  patient  wdth  fracture  of  the  neck  of  the  femur, 

Fig.  159. 


Part  IV. 
98  GEO.   TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

the  thigh  resting  upon  a  plane,  and  extension  effected  bj  weight  and  pulleys,  while 
the  sound  thigh  rests  upon  an  inclined  plane  for  the  purpose  of  counter-extension. 
"While  the  fractured  thigh  remains  in  a  horizontal  position,  the  other  is  elevated  and 
the  leg  raised  above  and  on  a  line  corresponding  to  the  axis  of  the  body.  In  this 
position  the  pelvis  becomes  fixed  and  counter-extension  is  maintained  by  the  posi- 
tion of  the  sound  thigh. 

Pig.  160, 161.    Hunger's  Splint. 

Price  for  the  Set  of  Screws  and  Rods,  $  4.50. 
Price  for  Apparatus,  complete,  $  6.00. 

Fig.  160. 


F  F,  Iron  Rods  three-eights  of  an  inch  in  diameter  and  a  foot  or  more  in  length, 
are  fitted  to  the  upper  or  body  portion  of  the  splint,  these  rods  slide  into  grooves 
G  G  in  the  lower  section  B  which  are  covered  with  tin  to  prevent  displacement  of 
the  bandages.     At  the  upper  end  of  the  lower  segment,  is  attached  an  iron  brace 


Fig.  161. 


G  through  the  head  of  which  runs  a  screw  E,  ten  or  twelve  inches  in  length.  The 
end  of  this  screw  strikes  against  a  corresponding  brace  D  attached  to  the  upper  seg- 
ment, and  it  is  by  turning  this  screw  that  the  two  portions  of  the  splint  are  forced 
apart.     By  this  means  extension  is  made  and  kept  up  to  any  desired  degree. 


Application. — Each  section  should  be  well  padded,  and  the  whole  then  applied  to 
the  limb  in  the  same  manner  as  Liston's  splint,  with  rollers  and  perineal  band, 
except  the  space  between  the  sections,  which  is  not  to  be  covered  by  the  roller,  but 
with  a  light  dressing  separate  from  the  rest.  By  this  means  the  wound  may  be 
examined  and  cleaned  as  often  as  necessary  without  disturbing  any  other  portion 
of  the  apparatus.  The  surgeon,  with  a  few  turns  of  the  screw,  easily  forces  the 
limb  to  its  natural  length. 


Part  IV. 

67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store.  107  East  28th  St.,  N,  Y. 


99 


Fig.  162.   Depuytren's  Splint  for  Fractured  Fitula. 


Depuytren's  Splint  is  constructed  of  a  single  board,  about  four  inches  wide,  and 
must  extend  from  the  condyle  of  the  femur  to  two  or  three  inches  beyond  the  foot. 
Upon  this  a  long  triangular  pad  must  be  laid,  the  thickest  portion  of  the  triangle 
corresponding  to  a  point  about  an  inch  above  the  internal  maleolus.  The  bone  is 
then  set,  and  the  splint,  with  the  pad  resting  upon  it,  lying  along  the  inside  of  the 
leg,  which  is  secured  by  roller  bandage.  The  bandage  not  covering  the  site  of  the 
fracture. 

Fig.  163.    Apparatus  for  Supporting  the  Patient  while  Applying 
Plaster-of-Paris  in  the  Treatment  of  Fractured  Femur. 

By  P.  A.  HARRIS,  M.  D.,     Dover,  New  Jersey. 
(Extracted  from  The  Medical  Record,  New    York,  Sept.  18,  1875.) 


The  accompanying  illustration  represents  the  apparatus.  It  is  over  five  feet  long, 
two  feet  wide,  and  ten  inches  high.  It  consists  of  a  long  and  short  side,  each  being 
made  up  of  two  boards  of  equal  width,  placed  one  on  the  other  edgewise,  and  held 
together  by  two  bolts  provided  with  thumb  screws,  which  also  serve  to  fasten  the 
tenons  of  the  two  cross  blocks,  thus  connecting  the  sides  together  ;  of  six  slats  form- 
ing the  body-rest,  placed  across  and  secured  at  either  end  by  a  screw ;  of  a  third 
cross-block,  very  short,  which  serves  to  support  the  rest  on  which  the  sound  leg  is 
placed.  This  short  cross-block  has  two  tenons,  which  pass  through  mortises  in  the 
long  side,  and  are  held  in  place  by  a  wooden  pin. 

The  sound  leg-rest  is  secured  to  tlie  long  side  by  a  screw,  and  to  the  short  cross- 


TXMT   IV. 

100  GEO.   TIEMANN    &   CO.'S   SURGICAL    INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 

block  in  like  manner.  Tt  is  provided  with  a  series  of  holes  to  adapt  it  to  the  length 
of  the  patient.  The  half  circle-like  opening  in  the  long  side,  between  the  sound  leg- 
rest  and  the  body-rest,  corresponds  to  that  portion  of  the  bodj  around  which  the 
dressing  must  be  carried  to  form  the  girdle.  This  opening  is  ten  inches  long,  its 
maximum  depth  being  six  and  one-half  inches. 

A  very  short  perineal  band  attached  to  two  broad  straps  of  thin  leather  will  fur- 
nish counter-extension.  Secure  one  end  to  a  slat  near  the  head  of  the  apparatus, 
let  it  pass  down  over  the  slats  fornjing  the  body-rest,  between  the  thighs,  up  over  the 
body  and  shoulders,  and  fastened  again  to  one  of  the  slats  near  the  bead.  A  part  of 
the  apparatus  which  remains  to  be  described  is  the  folding-rest  for  supporting  the  in- 
jured leg  until  ready  for  operation.  It  consists  of  two  boards,  one  much  thinner 
than  the  other,  held  together  by  a  screw  which  allows  the  part  forming  the  leg-rest 
to  be  abdncted  to  any  extent  from  the  sound  limb.  When  removed  from  its  place, 
as  it  will  be  while  the  piaster-dressing  is  being  applied,  it  can  be  folded  together; 
hence  named  folding-rest.  At  the  end  of  the  under  thicker  portion  of  the  folding- 
rest  is  a  tenon  which  is  made  to  pass  between  the  slats  forming  the  body-rest,  and  the 
upper  edge  of  the  first  cross-block;  it  is  provided  with  a  spring  which  prevents  it 
from  being  pushed  out  of  the  mortise.  The  folding-rest  is  valuable,  particularly  as  a 
support  for  the  injured  limb  during  the  administration  of  an  anaesthetic.  If  the  limb 
be  firmly  bandaged  to  it,  it  will  prevent,  to  a  large  extent,  the  injury  so  often  done 
to  the  soft  parts  by  the  violent,  uncontrollable,  muscular  efforts  so  common  in  the 
beginning  of  anaesthesia. 

The  apparatus  is  so  construcred  that  it  can  be  quickly  set  for  either  leg,  or  chang- 
ed from  one  to  the  other. 

To  change  it  from  left  to  right,  or  iiice  versa,  unscrew^  the  four  thumb-screws,  re- 
move the  bolts,  and  change  the  under  half  of  side  supports  each  for  the  other.  In- 
sert the  four  bolts,  and  tighten  the  thumb-screws.  Then  remove  the  two  screws 
which  secure  the  sound-leg-rest,  and  withdraw  the  pin  from  the  tenons  at  the  end 
of  short  cross-block.  Remove  short  cross-block,  insert  from  the  opposite  side,  and 
secure  it  with  pin.  Turn  the  sound  leg-rest  the  other  side  up,  and  fasten  by  the 
two  screws  as  before.  When  this  is  done,  the  folding-rest  can  be  introduced  as  be- 
fore ;  in  fact,  every  part  of  the  apparatus  remains  the  same,  except  it  has  been  chang- 
ed from  loft  to  right,  or  vice  versa.  To  render  it  more  portable  I  have  constructed 
it  so  that  by  removing  the  four  bolts  it  can  be  folded  together  and  made  to  occupy 
about  one-third  the  space. 

Three  minutes  jvill  suffice  to  setup  the  apparatus,  or  change  it  from  side  to  side. 

Directions. — Before  placing  the  patient  on  the  apparatus,  let  the  body-rest  be 
covered  with  several  folds  of  a  blanket  or  coverlet,  and  provided  with  a  pillow. 
Th(i  leg-rest  should  also  be  padded  by  doubling  a  small  blanket  over  it.  Let  one 
end  of  the  strap  attached  to  the  perineal  band  be  buckled  on  the  first  slat  at  the  head 
of  the  body-rest,  and  carried  down  over  the  centre  of  the  rest.  Place  the  patient 
on  the  apparatus  so  that  part  of  the  body  and  .pelvis,  around  which  the  bandage 
must  be  carried,  will  correspond  to  the  vacant  space  between  the  leg  and  body-rest. 
Continue  the  counter-extending  band  over  the  perineum  and  abdomen,  and  secure 


Paht  IV. 
67  CHATHAM   STREET,    NEW-YORK. 

Branch  Store,  107  East  28tii  St.,  N.  Y. 


101 


its  straps  to  the  slat  at  the  head  of  the  apparatus.  Secure  tlie  sound  leg  to  its  rest 
by  a  few  turns  of  a  roller  passed  round  the  leg,  under  the  rest,  and  through  the 
slats  near  the  upper  edge  of  the  long  side.  The  patient's  body  and  sound  leg  are 
now  supported  on  a  common  plane  sev^eral  inches  above  the  bed  or  table  on  which 
the  apparatus  rests.  Every  part  to  which  the  dressing  should  be  applied  i,s  access- 
ible to  the  hand  of  the  operator.  The  sound  leg-rest  may  be  abducted  to  any  dis. 
tance  compatible  with  a  successful  appliance  of  the  bandage.  The  injured  leg,  of 
course,  must  be  supported  by  an  assistant,  aided  perhaps  by  the  compound  pulleys 
so  often  required  for  extension.  Abduction  to  much  extent  causes  the  girdle  to  lit 
poorly.  When  the  dressing  is  hard  enough  to  warrant  us  in  discontinuing  the  exten- 
sion, the  straps  attached  to  the  perineal  band  may  be  drawn  out  from  under  tlie  gir- 
dle, the  bandage  removed  from  the  sound  leg,  and  the  patient  transferred  to  the  bed. 


Extracted  from  the  New  York  Medical  Journal,  Oct.  1874. 

A  New  Method  of  applying  Plaster  of  Paris  for  Fracture  of  the  Bones  of  the 
Leg.  By  G.  Wackerhagen,  M.  D.,  Surgeon  to  the  Southern  Dispensary  of 
Brooklyn. 

As  I  have  experienced  considerable  difSculty  in  removing  plaster-of-paris  dress- 
ings when  applied  by  the  roller  bandage,  and  especially  when  obliged  to  remove 
them  on  account  of  pain  caused  by  an  increase  of  the  swelling,  I  respectfully  submit 
to  the  profession  a  method  of  application  by  which  these  disadvantages  may  be 
avoided  • 

Having  procured  a  woollen  or  cotton  stocking  sufficiently  long  to  reach  to  the 
knee-joint,  I  cut  from  it,  as  a  pattern,  six  layers  of  coarse  red  flannel  (1),  (one-quart- 
er of  an  inch  larger  to  allow  for  shrinkage).  The  flannel  is  then  soaked  in  water, 
pressed,  and  laid  over  the  back  of  a  chair  ready  for  use.  A  one-quarter-inch  cotton 
rope  is  now  sewed  to  the  posterior  median  line  of  the  stocking.  The  plaster  of 
paris  being  in  process  of  preparation,  the 
stocking  is  cut  in  the  anterior  median  line, 
applied  to  the  fractured  limb,  and  laced  up 
in  front,  mcluding  the  rope  (2),  extension 
and  counter-extension  being  kept  up  by 
assistants,  and  the  fracture  adjusted. 

Each  layer  of  the  flannel  is  now  separ- 
ately saturated  in  the  plaster  paste,  and 
applied,  three  layers  to  each  side  of  the 
limb,  being  careful  to  avoid  covering  the 
rope.  After  this  is  done,  a  layer  of  plaster 
paste  is  applied  to  the  flannel,  and,  when 
this  has  become  sufficiently  dry,  a  coating 
of  shellac  varnish  is  applied,  which  produces 
an  elegant  finish,  and  also  gives  firmness  to 
the  splints.  The  varnish  will  dry  in  about 
fifteen  minutes. 


Fig.  164. 


Paet  IV. 
102  GEO.   TIEMANN   &    CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  ^        ^^^^^  Edward  Pfarre. 

This  dressing  can  be  removed  in  from  three  to  five  minutes  by  loosening  the 
rope  from  the  plaster  and  cutting  the  thread  which  binds  it  to  the  stocking.  The 
rope  having  been  removed,  the  pkin  stocking  surface  can  be  cat  through  with  an 
ordinary  pair  of  scissors.  Tlie  sy)lint  is  then  removed  in  two  lateral  portions,  each 
half  of  the  stocking  remaining  attached  to  its  corresponding  splint  (3). 


Extracted  from  the  New  York  Medical  Journal,  Sept.  1875. 

An  Improved  Method  of  ohtaiiiing  Sujyport  for  Fractured  Bones  of  the  Extrem- 
ities, with  Flannel,  Plaster  of  Paris,  and  Shellac.  By  G,  Wagerhagen,  M.  D., 
Surgeon  to  the  Southern  Dispensary  of  Brooklyn, 

In  the  treatment  of  fractures  of  the  long  bones  the  surgeon  is  required  to  exercise 
great  care  and  diligence,  for  the  reason  that  patients  generally  expect  tob^  dismissed 
with  the  limb  perfect  in  contour,  and  as  useful  as  before  the  injury. 

Every  possible  effort  should  be  made  to  comply  with  these  demands ;  therefore,  it 
is  essential  that  he  be  prepared  to  employ  material  which  will  supply  the  following 
requisites,  viz. : 

It  should  be  lightly,  easily  and  quickly  applied  and  removed.  It  should  readily 
adapt  itself  to  the  irregularities  of  the  limb,  and  become  sufinciently  firm  to  retain 
the  fractured  bones  in  place  as  soon  as  extension  and  counter-extension  are  discon- 
tinued. It  should  not  confine  perspiration,  nor'become  unserviceable  from  increased 
temperature  or  moisture. 

In  order  to  allay  pain,  and  to  faciliate  a  more  complete  adjustment  of  the  frac- 
ture, I  am  of  the  opinion  that  anaesthetics  should  be  more  generally  administered, 
thus  preventing  deformity  which  sometimes  results  because  of  the  difficulty  in 
overcoming  spasmodic  action  of  the  muscles. 

During  the  past  ten  months  I  have  practically  tested  nearly  all  the  materials  that 
have  been  employed  for  dressing  fractures,  and  have  found  them  more  or  less  defec- 
tive, excepting  plaster  of  Paris  for  the  application  of  which  I  propose  the  following 
improved  method : 

After  replacing  the  fragments  as  accurately  as  possible  (extension  being  maintain- 
ed by  assistants)  the  limb  is  smoothly  bandaged  with  cotton-wadding,  prepared  in  the 
form  of  an  ordinary  roller;  a  flannel  bandage  spread  with  dry  plaster  of  Paris,  and 
rolled,  is  now  soaked  in  warm  water  (to  which  I  generally  add  about  two  fluid-ounces 
of  saturated  solution  of  sulphate  of  potassium),  and  applied  to  the  limb,  over  the  wad- 
ding, by  circular  and  reversed  turns.  One  layer  of  the  flannel  applied  in  this  way  is 
amply  suflScient  for  support. 

When  we  wish  to  inspect  the  point  of  fracture,  the  dressing,  which  is  only  auout 
an  eight  of  an  inch  thick,  is  easily  cut  through  by  a  pair  of  curved  scissors  (1),  man- 
ufactured for  me  by  Messrs.  Tiemann  &  Co.  (Fig.  165.) 

If  it  is  desired  to  employ  lateral  splints,  the  dressing  should  be  cut  in  the  median 
line  of  the  anterior  and  posterior  surfaces.  If  anterio-posterior  support  is  preferred, 
it  should  be  cut  through  the  lateral  surfaces.  The  splints  should  now  be  varnished 
on  their  inner  and  outer  surfaces  with  shellac,  or  this  preparation  may  be  applied  to 
the  outer  surface  before  removal. 


Part  IV. 

67   CHATHAM   STREET,   NEW   YORK.  103 

Branch  Store,  107  East  28th  St.,  N.  Y. 

The  shellac  seems  to  permeate  the  dressing  sufficiently  to  increase  the  strength  of 
the  splint,  and  at  the  same  time  renders  it  slightly  flexible  instead  of  brittle,  as  is  the 
case  when  plaster  of  Paris  is  used  alone. 


Fig.  165.    Wackerhagen's  Plaster  Paris  Shears. 

Price,  $6.00. 


The  lateral  elbow  splint  (2),  weighs  only  four  ounces,  the  materials  necessary  foi 
use  by  this  method  can  be  procured  in  packages  from  Messrs.  Tiemann  &  Co.,  New 
York. 

Fig.  166.    Wackerhagen's  Apparatus  for  Fixing  the  Pelvis  in 
Inflammation  of  the  Hip-Joint. 


In  order  to  overcome  some  of  the  difficulties  in  the  management  of  inflammation 
at  the  hip-joint,  I  have  had  an  apparatus  constructed  by  which  I  can  keep  the  pelvis 
and  affected  joint  fixed,  and  in  position,  and  also  apply  counter-extension  without 
producing  excoriation  of  the  integument  at  the  groin. 


Pabt  IV. 

104  GEO.   TIEMANN   &   CO.'S   SURGlCAt,   INSTRUMENTS, 

F.  A    Stohlmann.  Edward  Pfarre. 


The  bed  represented  in  Fig.  166  is  made  of  iron  and  constructed  for  a  child  six 
years  of  age.  It  consists  of  a  frame  base,  nieasuring  twelve  inches  in  its  anterio- 
posterior diameter  and  seventeen  inches  transversely — four  iron  rods  are  fastened 
perpendicularly  to  each  corner.  The  surface  on  which  the  pelvis  is  fixed  is  of 
Jeather,  and  is  arranged  to  slide  up  or  down  on  the  perpendicular  rods,  and  may  be 
fastened  by  the  screws.  Anteriorly,  the  leather  is  slit  up  about  five  inches,  and  the 
under  surface  is  supplied  with  straps  and  buckles.  By  this  contrivance  the  aloine 
evacuations  may  be  passed  without  soiling  the  apparatus.  The  leather  surface 
having  been  padded  with  cotton  ;  the  pelvis  and  affected  joint  are  iirmly  bandaged 
thereto.     Extension  is  made  by  weight  and  pulley  after  Dr.  Buck's  method. 


Actual  Cauterisation  with  Charcoal  Pencils. — Pencils  may  l)e  made  of  char- 
coal, nitrate  of  potash,  and  a  little  gum  tragacanth,  which  light  and  burn  like  a 
cigar,  and  are  very  useful  as  an  actual  cautery.  A  mass  should  be  made  and  rolled 
into  cylinders  about  four  inches  in  length,  and  of  the  diameter  of  a  common  pencil, 
(M.  Bretonneau). 

Fig.  167.  Eliodes  Fracture  Apparatus,  or  DoulDle-Inclined  Plane. 

(Principles  Covered  by  his  Patent  of  Jan'y  6,  I874.) 


Distinctive  Features — 1st,  Adjustibility  as  to  size  as  well  as  to  form.  2d, 
Correct  position  and  action  of  knee  and  ankle  joiuts.  3d,  The  novel  application  of 
the  Spring  power  and  Extension,  &c. 


Fig.  168, 169.    Hhodes'  Fracture  Bed. 

(Patented  Jan'y  6,    1874.) 

Distinctive  Features — 1st,  Adjustability  from  chair  to  bed,  or  any  desirable 
position  of  hmb  or  body ;  also,  the  same  apparatus  fitting  all  normal  adult  persons. 
2d,  Concentric  Action  of  Joint,  with  those  of  Patients,  thereby  allowing  free  joint 
action  without  displacement,  in  case  of  fractures,  &c.,  &c. 


Part  IV. 

67   CHATHAM    STREET,    NEW-YORK. 
Branch  Stork,  I07  k^st  28th  St.,  N.  Y. 

Fig.  108. 


105 


Fig.  169. 


See  Operating  Tables  and  Chairs,  page  128,  Part  I. 
Ansestlietic  Apparatus,  page  114,  Part  I. 
Antiseptic  Surgery  Apparatus,  page  119,  Part  I. 


Part  IV. 

106  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 


TO  REMOVE  A  RING-  FROM  SWOLLEN  FINGER. 

Wind  a  reel  of  cotton  evenly  around,  beginning  at  the  extremity  of  the  finger,  and 
bringing  each  coil  into  close  apposition  with  the  preceding,  until  the  ring  is  reached  ; 
having  then  threaded  a  needle  with  the  cotton,  and  passed  it  under  the  ring,  care- 
fully unwind  the  thread  from  the  finger,  the  ring  follows  each  coil  as  it  is  successively 
unrolled,  and  by  almost  imperceptible  degrees  is  brought  over  the  knuckle  and  re- 
moved. 


SURGICAL  USE  OF  LIQUID  GLASS. 

This  is  a  silicate  of  potash,  which  is  soluble  in  hot  water,  but  insoluble  in  cold. 

The  solution  is  applied  by  means  of  a  brush  over  the  ordinary  bandages.  The 
advantages  which  this  application  is  said  to  possess  are  the  following  :  1.  It  is  sim- 
ple, and  easy  of  application.  2.  It  dries  and  hardens  rapidly,  requiring  for  this  pur- 
pose only  five  or  six  hours.  Desiccation  may  be  favoured  by  using  a  solution  evap- 
_ orated  to  the  consistence  of  a  syrup.  3.  It  is  very  solid  and  impermeable.  4.  It  is 
readily  removable  by  means  of  hot  water.  5.  It  is  very  economical.  Before  put- 
ting on  the  bandages,  a  layer  of  liquid  glass  may  be  applied  over  the  limb. 


Extracted  from  the  American  Journal  of  the  Medical  Sciences,  Philadelphia. 

De.  Henry  M.  Smith's  Instruments  for  the  Treatment  of  Ununited  Fracture  by 
Pressure  and  Motion. 

Since  1862  I  have  frequently  heard  from  cutlers  of  orders  given  for  the  appara- 
tus, but  have  been  unable  to  obtain  a  satisfactory  report  of  the  treatment  from 
surgeons  ordering  it.  Sufficient  evidence  has,  however,  been  presented  to  show  that 
the  results  of  treatment  by  "  Pressure  and  Motion  "  should  not  be  forgotten,  nor 
its  advantages  overlooked  by  the  profession. 

Experience  having  led  to  some  slight  modifications  of  the  original  apparatus,  and 
many  of  the  cutlers  having  failed  to  manufacture  it  as  described  by  me,  often  spoil- 
ing it  in  attempts  to  modify  it  to  their  taste,  I  here  ofier  drawings  clearly  showing 
the  forms  now  applied  to  the  femur,  tibia,  and  humerus,  in  all  of  which  it  has  been 
successfully  employed. 

In  the  manufacture  of  all  these  limbs  the  cutler  should  use  for  the  side  hars, 
that  are  the  main  support,  "cast  steel"  h;  inch  wide  and -g- inch  thick,  which  is 
strong  enough  to  sustain  any  ordinary  weight.  For  the  back  and  front  splints  that 
surround  the  limb,  and  act  as  a  ferule  at  the  seat  of  fracture,  take  galvanized  sheet 
iron,  Xo.  6,  stuffed  with  wool,  covered  by  buckskin  on  the  inside  of  the  splint  and 
morocco  on  the  outside.  The  attempts  of  some  cutlers  to  make  lighter  limbs,  by 
using  stiff  leather  and  steel  half  rings,  has  not  proved  advantageous. 


Paiit  IV. 

67  CHATHAM    STREET,    NEW-YORK.  lOY 

Branch  Store,  107  East  28tii  St.,  N.  Y. 

Fig.  170. 
Smith's  Artificial  Limb  for  Uniiiiited  Fracture  of  the  Femur. 

Price  $50  to  $75. 

A,  Pelvic  band.  £,  Hip-joint,  C,  Conical 
thigh  piece  which  supports  the  weight  of  the 
body,  and  makes  pressure  on  the  fractured  ends 
of  the  bone,  permitting  sufficient  friction  to  ex- 
cite periosteal  action.  D,  Knee-joint  in  side 
irons.  J^,  Support  at  calf.  F',  Laced  shoe  and 
ankle-joint. 

Directions  foe  Measurement. 

1.  Patient's  name. 

2.  Smith's  Artificial  Limb  for  ununited  fracture 

of  the  femur, 

3.  Right  or  left  side. 

4.  Position  of  false  joint.  Inches 

5.  Length  from  sole  to  ankle,  .  " 
().    Length  from  sole  to  knee           .         ,         " 

7.  Length  from  sole  to  crutch  (perineum),     " 

8.  Length  from  sole  to  trochanter  major,       " 

9.  Length  from  sole  to  iliac  crest,       ,  " 

10.  Circumference  above  iliac  crest,  " 

11.  Circumference  of  thigh  close  to  groin,  " 

12.  Circumference  of  middle  of  thigh,  " 

13.  Circumference  of  middle  of  knee-joint,  " 

14.  Circumference  around  the  tubercle  of 

tibia,  '' 

15.  Circumference  of  middle  of  calf, 

16.  Circumference  of  ankle,  •...." 
Patient  will  send  us  a  shoe. 

If  we  are  to  furnish  shoes  the  following  additional  measures  are  required : 

a  Length  of  sole    of  the  foot,        .  -  .  ,  " 

h  Circumference  of  ball  of  foot,  .  .  .  ,       " 

c  Circumference  of  instep,  ^  .  ,  ,  " 


Shoes  are  charged  extra,  according  to  quality. 


Price  of  Adhesive  Plaster,    per  yard, 

"     ^'    Moleskin         "       on  twilled  goods,  per  yard, 
"     "    Roller  Bandage,  per  lb., 


.75 
1.50 
1.50 


Part  IY. 
108  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  171. 
Smith's  Artificial  LimlD  for  u  nunited  Fracture  of  the  Tihia. 

A.  Support  at  middle  of  thigh,  B.  Knee-joint  in  side  irons.  C.  Main  support 
of  the  body  by.  accurate  adjustment  below  the  tubercle  of  the  tibia.  D.  Ankle- 
joint  and  boot. 

Directions  fob  Measurement  : 

1.  Patient's  name. 

2.  Smith's  artificial  limb  for  ununited  fracture  of  the  tibia. 

3.  Right  or  left  side. 

4.  Position  of  false  joint.  Inches. 

5.  Length  from  sole  to  ankle-joint,  .  .  " 

6.  Length  from  sole  to  knee-joint,     .  .  .       " 

7.  Length  from  sole  to  middle  of  thigh,  .  " 

8.  Circumference  around  ankle-joint,  .  .       " 

9.  Circumference  below  calf,        ..." 

10.  Circumference  around  middle  of  calf,       .  .       " 

11.  Circumference  around  tubercle  of  tibia,           »  " 

12.  Circumference  around  middle  of  knee-joint,  .       " 

13.  Circumference  around  thigh  above  knee,        .  " 

Price  $30.  to  $40. 

Patient  will  send  a  shoe. 

If  we  are  to  furnish  shoes,  the  following  additional  measures  are  required  : 

a   Length  of  sole  of  foot,  h   Circumference  of  ball  of  foot, 

c   Circumference  of  instep,  d   Circumference  above  ankle.^ 

The  heel  depends  on  the  shortening  from  the  fracture. 

In  every  application  of  the  apparatus  let  it  be  remembered,  1st,  that  the  pressure 
at  the  seat  of  fracture  must  be  as  great  as  can  be  borne  without  inflaming  the  skin  ; 
hence  the  strap  at  this  point  nmst  always  be  firmly  drawn  so  as  to  make  the  appar- 
atus also  act  as  a  ferule  around  the  ends  of  the  fragments. 

2d.  That  in  the  lower  extremities,  the  weight  of  the  body  is  sustained  by  the 
ripper  part  of  the  hollow  splint,  just  as  a  stump  is  sustained  in  an  artificial  limb  after 
amputation.  The  upper  strap  should,  therefore,  be  firmly  drawn  when  the  patient 
is  about  to  walk ;  but  it  should  be  slackened,  so  as  to  be  more  comfortable,  when 
the  patient  is  in  bed  or  sitting  up  in  a  chair. 

3d.  When  worn  for  several  months  the  inside  lining  and  stuffing  should  be  re- 
newed, so  as  to  give  accurate  support. 

4th.  When  from  union  occuring  it  is  proposed  to  lay  aside  the  splint,  let  it  be 
taken  off  at  night  for  ten  days,  or  whilst  sitting  up  in  a  chair,  before  any  attempt  is 
made  to  walk  without  it. 

5th.  It  is  useful  in  recent  fractures,  enabling  the  patient  sooner  to  sit  up. 

"Shoes  are  charged  extra,  according  to  quality. 


Part  IV. 
67  CHATHAM   STREET,   NEW-YORK, 
Branch  STt)KE,  107  East  28tii  St.,  N.  Y. 


109 


Fig.  172. 
Smith's  Artificial  Lim"b  for  Ununited  Fracture  of  the  Humerus. 


ointed  at 


Price  $35.  to  $70.00,  according  to  finish,  cfec. 

Fitting  close  over  the  rotundity  of  the  slioulder  and  forearm,  accurately  j 
the  elbow. 

Directions  for  Measurement. 

1.  Patient's  name. 

2.  Smith's  artificial  limb  for  fracture  of  the  humerus. 
3     Right  or  left  side. 

4.  Length  from  acromion  to  point  of  external  condyle. 

5.  Length  from  condyle  to  styloid  of  radius. 

6.  Length  from  internal  condyle  to  styloid  of 

ulna. 

7.  Circumference  from  point  of  shoulder  to  op- 

posite axilla. 

8.  Circumference  around  top  of  shoulder  over 

deltoid. 

9.  Circumference  around  middle  of  arm. 

10.  Circumference  at  elbow-joint. 

11.  Circumference  at  upper  end  of  forearm. 

12.  Circumference  at  middle  of  forearm. 

13.  Circumference  at  wrist. 


Be  careful  to  take  circumference  at  wrist,  whilst  the  radius  and  ulna  are  parallel 
or  between  pronation  and  supination. 


Fig.  173. 
Smith's  Artificial  Limh  for  Ununited  Fracture  of  the  Forearm. 

Price,  $35.00  to  $  60.00,  according  to  finish,  etc. 

A.  Piece  accurately  embracing  the  arm.  £.  Joint  for  flexion  and  extension  of 
forearm  at  elbow.  £.  Pivot-joint  permitting  rotation  of  head  of  radius  in  semi- 
pronation  and  supination.  C.  Ensheathing  piece  for  forearm.  D.  A  thick  pad  to 
press  on  styloid  processes  of  uhia  and  radius  at  their  carpal  surfaces — so  as  to  pre- 
serve the  parallelism  of  these  bonesr 

Directions  for  Measurements  : 

1.  Patient's  name. 

2.  Smith's  artificial  limb  for  ununited  fracture  of  the  forearm. 

3.  Right  or  left  side 

4.  Length  from  middle  of  humerus  to  external  condyle. 


110 


Part  IY. 
GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 


F.  A    Stohlmann. 


5.  Lengtli  from  condyle  fo  styloid  of  radius. 

6.  Length  from  internal  condyle  to  styloid  of 

ulna. 

7.  Circumference  around  middle  of  arm. 

8.  Circumference  at  elbow-joint. 

9.  Circumference  at  upper  end  of  forearm. 

10.  Circumference  at  middle  of  forearm. 

11.  Circumference  at  wrist. 


Edward  Pfarre- 


Ftg.  173. 


Pig.  174.    Buck's  Suspension  Apparatus  for  Hospital  Use. 

Price,  $18. 


N"o.  1.  For  suspending  the  lower  limbs  is  made  of  five-eight  inch  iron  tubing  bent 
in  the  manner  shown  by  the  picture.  The  horizontal  portion  overhanging  tlie  bed 
is  supported  by  tM^o  upright  iron  rods  resting  upon  the  mattress  astraddle  of  the  thigh. 
A  row  of  screw  heads  inserted  along  the  outer  surface  of  the  horizontal  portion  serves 
for  fastening  the  ends  of  the  canvas  bands  that  suspend  the  limb.  The  upright 
portion  of  the  apparatus  is  securely  fastened  to  the  two  cross-rods  at  the  foot  of  the 
bedstead  by  clamps  and  can  be  adjusted  at  any  required  height.  The  suspending 
bands  are  of  stout  sailcloth  canvas,  cut  of  any  required  length  and  width,  and  but- 
toned on  to  the  screw  heads  by  slits  cut  for  the  purpose.  The  canvas  being  very 
strong  does  not  tear,  and  will  sustain  any  weight  it  has  to  bear. 

No.  2.  For  suspending  the  upper  limbs,  is  made  of  the  same  sort  of  iron  tubing; 
its  upright  portion  is  fastened  by  clamps  at  the  head  of  the  bedstead  and  its  lower 
portion  overhangs  the  bed  and  holds  suspended  at  its  extremity  a  flattened  strip  of 
hard  wood  on  the  upper  edge  of  which  a  row  of  screw  heads  serves  for  fastening 
the  ends  of  the  canvas  bands  that  suspend  the  limb.  The  strip  of  wood  that  supports 
the  limb  plays  horizontally  on  a  swivel  joint  at  the  extremity  of  the  iron  tubing. 


Part  IY. 

67   CHATHAM    STREET,    NEW-YORK 

Branch  Store,  107  East  28tii  St.,   N.  Y. 


Ill 


Pig.  175.    Sayre's  Long  Splint  for  Hip-Joint  Disease. 

Price,  $25.00  to  $45.00,  according  to  size  and  finish. 

The  pelvic  band,  perineal  straps,  knee  cap,  foot- piece, 
and  contrivance  for  extension  of  this  instrument  corres- 
pond with  analogous  parts  of  Dr.  Taylor's  long  splint. 
The  modification  consists  in  the  addition  of  an  endless 
screw,  by  which  rotation  is  produced.  Dr.  Sayre  descri  bes 
it  as  follows. 

The  long  bar,  reaching  from  the  pelvis  to  the  bottom 
of  the  foot,  is  hollow.  Another  bar,  running  inside  of  it, 
is  furnished  with  a  rack,  by  which,  and  a  key,  we  make 
extension.  It  is  locked  in  the  same  way  as  the  short 
splint.  The  cross-bar  at  the  bottom  of  the  instrument  is 
covered  with  leather,  to  keep  from  making  noise  on  the 
pavement  while  walking.  The  ends  of  a  strong  leather 
strap  are  passed  through  slits  in  the  footpiece  for  the 
purpose  of  buckling  to  adhesive  strips  upon  the  leg. 

Application  of  the  Splint. 

Take  two  strips  of  strong  moleskin  adhesive  plaster 
from  two  to  four  inches  in  width,  according  to  the  size 
of  the  patient  and  the  entire  length  of  the  limb,  divide 
the  upper  extremity  of  the  plaster  into  strips,  two  or 
three  inches  Jong,  and  sew  strong  webbing  with  buckles 
attached  on  below.  These  plasters  are  then  applied 
on  either  side  of  the  leg  in  such  a  manner,  as  to  leave  the  buckles  a  little  above  the 
ankie-pint,  and  are  secured  by  a  snugly  adjusted  roller,  so  applied  as  to  leave  the 
tags  with  the  buckles  hanging  loose,  the  roller  being  carried  up  over  the  knee,  and 
as  far  up  the  thigh  as  can  be  done  with  convenience,  the  upper  split-ends  of  the 
piasters  are  reversed  and  braided  in  with  the  roller  as  it  turns  down  the  thigh, 
securing  it  smoothly.  The  stocking  is  then  pulled  up  on  the  foot,  holes  haviuo- 
been  cut  on  either  side  for  the  buckles  to  pass  through,  and  the  shoe  applied,  with 
holes  cut  through  in  the  same  manner. 

The  instrument  is  now  placed  on  the  outer  side  of  the  leg,  and  the  cross-bar  at  the 
bottom  brought  in  front  of  the  heel  of  the  shoe,  and  securely  buckled  to  the  tags 
above  described. 

The  Pelvic-band  is  next  brought  around  the  hips,  and  secured  by  the  buckle 
upon  the  opposite  side,  and  the  perineal  straps  attached  as  firmly  as  need  be. 

The  knee-pad-band  is  then  slipped  up  or  down,  until  it  is  made  to  rest  opposite 
the  knee,  when  it  is  passed  around  and  buckled  fast. 

Extension  is  now  made  by  the  key  upon  the  ratchet  until  full  compression  is 

borne  without  pain.     The  abducting  screw  may  then  be  used,  and   daily  increased. 

If  the  limb  be  strongly  flexed,  an  additional  strap  is   applied  at   tlie  posterior 


Part  IV. 
112  GEO.   TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS. 

F.  A    Stohlmann.  Edward  Pfarre. 


part  of  the  instrument  at  the  knee,  running  up  the  back  of  the  thigh,  and  secured 
to  the  posterior  portion  of  the  pelvic  band,  and  made  tighter  as  occasion  may 
require  for  the  purpose  of  extending  the  Hmb.  This  latter  strap  should  be  elastic 
for  the  purpose  of  keeping  up  a  constant  tractile  force ;  and,  at  the  same  time,  allow 
of  flexion  when  the  patient  wishes  to  sit  down. 

By  this  means,  matiy  cases  that  have  gone  to  the  third  stage  of  the  disease,  may, 
in  the  course  of  time,  recover  without  exsection,  with  tolerably  good  form  and  a  mod- 
erate degree  of  motion,  without  any  further  operative  procedure. 


Directions  for  Measurement. 


1. 

2. 
3. 

4. 
6. 
6. 

7. 


Sajres'  Long  Hip-joint  Splint. 

Name  of  patient. 

Age  of  patient. 

Weight  of  patient. 

Right  or  left  leg. 

Length  from  sole  to  crest  of  ilium, 

Circumference  of  pelvis  at  liiac  crests, 


Inches. 


Dry  Cupping. 


Fig.  176.    Junod's  Boot 

Price  of  Boot  with  Pump  $15.00  to  $25.00,  according  to  size  and  finish. 

Dry  Cupping  was  suggested  about  twenty-five  years  ago  by 
Junod,  of  Paris,  for  the  relief  of  rheumatic  pains,  paralysis, 
and  atrophy  of  muscles.  It  is  an  excellent  counter  irritant, 
producing  no  painful  sores,  and  is  frequently  more  effective 
than  blisters. 

It  increases  the  circulation  when,  from  any  cause,  there  has 
been  an  obstruction — thus  aiding  and  assisting  nature  in  her 
efforts  to  convey  a  healthy  current  of  blood  to  the  different 
parts  of  tiie  system. 

Fig.  176  represents  a  metallic  receiver  for  the  leg  with  a  rub- 
ber band  on  the  upper  border,  which,  when  fastened  to  the  leg 
by  a  strap  and  buckle,  renders  the  boot  air-tight. 

In  front  of  the  boot  is  a  stopcock ;  this  has  a  rubber  tube 
attached,  connecting  it  to  an  air  pump,  which,  when  worked, 
exhausts  all  the  air  from  the  boot. 


Pakt  IV. 

67   CHATHAM    STREET,  NEW-YORK. 
Branch  3tore.  107  East  28th  St.,  N.  Y. 


113 


Fig.  177.    Junod's  Arm. 

Fig.  1Y7  Represents  Junod's  arm,  which  is  analogous  to  the  boot  and 
will  readily  be  understood  by  the  drawing. 

Price  with  Pump  $16.  to  $25. 

Junod's  Boot,  Arm  and  Pump  $25.00  to  $35.00,  according  to  size 

and  style. 


Pig.  178.    Straight  Jacket. 


Made  of  Canvass,  with  Lock. 


Price  $8.00  to  $  15.00. 

Although  in  the  present  day  Lunatics  are  treated  kind- 
ly and  allowed  all  the  liberty  and  favor  consistent  with 
their  own  welfare,  it  may  sometimes  become  necessary 
to  either  separate  them  from  their  families  on  their  sur- 
roundings, or  confine  them,  to  prevent  them  doing  harm 
to  others.     This  is  the  object  of  the  straight  jacket. 

Patients,  however,  should  be  treated  with  all  possible 
kindness,  and  the  jacket  taken  off  as  soon  as  they  become 
docile. 


Fig  179.    Buckle  and  Straps  for  Idiots. 

Price  of  Buckle,  $2.50. 
Price  for  Wristlets,  Belt  and  one  Buckle,  $  6.00. 

This  is  a  cheaper  arrangement  than  the  straight-jacket,  for 
confining  maniacs. 

It  is  intended  for  use  in  Asylums. 

After  confining  the  patient  in  the  straps  and  locking  the 
buckle,  the  key  is  taken  out  and  kept  by  the  attendant. 


Dislocation  Pulleys,  (See  Fig.  131),  per  pair,  $7.00. 


Part  IV. 
114  GEO.   TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann..  Edward  Pfarre. 

Extracted  from  the  New  York  Medical  Record,  May,  15th,  1874. 

Use  of  Wanii  and  Hot  Water  in  Surgery.     By  Professor  Frank  Hastings  Hamil- 
ton, M   D.,  New  York. 

Effect  in  Submersio7i  in    Warm  and  Hot    Water. 

No  treatment  hitherto  adopted,  under  our  observation,  has  been  attended  with 
e(jually  favorable  results. 

Under  this  plan  the  area  of  acute  inflammation  is  exceedingly  limited  ;  erysipel- 
atous inflammation  has  been  almost  uniformly  arrested  or  resti'ained,  when  it  has 
actually  commenced  and  it  has  never  originated  after  submersion  ;  gangrene  has 
in  no  instance  extended  bej^ond  the  parts  originally  injured,  and  when  progressing 
it  has  in  most  cases  been  speedily  arrested  (in  gangrene  hot  water,  or  water  at  a 
temperature  of  irom  100*  to  llO*^ Fahrenheit,  is  to  be  preferred).  Septicemia  and 
pyaemia  have  not  ensued  in  any  case  in  which  submersion  has  been  practised  from 
the  first  day  of  the  accident.  Purulent  infiltration  and  consecutive  abscesses  have 
been  infrequent,  and  always  limited  to  the  neighborhood  of  the  parts  injured,  and 
of  small  extent.  Traumatic  fever,  asually  present  after  grave  accidents,  when 
other  plans  of  treatment  have  been  pursued,  as  early  as  the  third  or  fourth  day, 
has  seldom  been  present  when  this  plan  has  been  adopted,  and  in  no  case  has  the 
fever  been  intense  or  alarming.. 

The  phenomena  usually  observed  in  eases  of  recent  lacerated  or  incised  wounds, 
when  submerged,  are,  a  sense  of  comfort,  yet  not  absolute  relief  from  pain;  on  the 
second  or  third  day  the  parts  adjacent  are  swollen,  but  not  much  reddened ;  the  in- 
tegument generally  assumes  a  white  and  sodden  appearance,  and  with  only  slight 
tenderness.  On  the  fifth,  sixth,  or  seventh  day  the  swelling  is  greater  than  usually 
accompanies  other  plans  of  treatment ;  and,  with  the  inexperienced,  is  likely  to  ex- 
cite alarm,  but  it  is  found  not  to  be  attended  with  increased  tenderness,  and  it  pits 
under  pressure,  showing  that  it  is  a  condition  of  oedema  chiefly.  At  this  time  the 
granulations  are  generally  covered  with  lymph,  or  some  exudate  of  a  whitish  color 
and  which  might  easily  be  mistaken  for  a  diphtheritic  deposit.  At  the  end  of  four- 
teen days,  or  thereabouts  (the  period  at  which,  in  most  cases,  we  substitute  fomen- 
tation for  submersion),  the  limb  is  still  oedematous,  the  granulations  are  abundant, 
sometimes  presenting  a  fresh,  red  appearance,  ar^d  at  others  covered  with  the  white 
exudate. 

To  what  Class  of  Cases  Submersion  is  especially  Applicable. 

Position  of  injury. — The  lower  extremities  can  only  be  completely  and  perman- 
ently submerged  to.  a  point  three  or  four  inches  below  the  knee,  and  the  upper  ex- 
tremities to  a  point  a  few  inches  above  the  elbow,  consequently,  submersion  is  limited 
to  those  portions  of  the  extremities  which  are  below  the  points  mentioned. 

Character  of  injury — Submersion  in  warai  water  demonstrates  its  superiority 
over  other  plans,  especially  in  the  case  of  a  laceration  or  contusion  of  the  hand  or  of 
the  foot,  when  the  integument  and  flesh  are  extensively  torn — provided  the  limb  is 
submerged  without  closing  the  wound — that  is,  without  sutures  or  bandages ;  in 
deed,  sutures  are  inadmissable  when  this  plan  is  adopted,  since  the  oedema  which 
almost  inevitably  ensues  would  break  away  the  sutures. 


Pakt  IV. 

67   CHATHAM    STREET,    NEW   YORK.  115 

Branch  Store,  107  East  28th  St.,   N.Y. 

Mere  contusions,  without  external  lesions,  have  been  treated  almost  constantly  at 
St,  Francis'  by  this  method ;  and  the  results  have  been  in  all  cases  satisfactory,  and 
occasionally  they  have  progressed  toward  recovery  in  a  manner  to  excite  surprise. 

8im/ple  incised  wottnds  have  seldom  been  subjected  to  immersion,  since  it  inevit- 
ably defeats  union  by  first  intension.  Nor  have  wounds  caused  by  amjjutation  been 
treated  in  this  manner',  partly  for  the  reason  just  given,  and  partly  because  of  certain 
apprehensions  that  the  depending  position  might  expose  the  patient  to  the  dangers 
of  a  secondary  hemorrhage  where  large  arteries  have  been  severed  and  are  exposed 

in  the  wound. 

Value  of  Hot  Water  in  Traumatic  Gangrene. 

The  power  of  hot- water  baths,  or  water  at  or  above  the  normal  temperature  of  the 

blood,  to  arrest  traumatic  gangrene  is  remarkable  ;  and  the  writer  entertains  a  hope 

that  its  efficiency  may  not  be  limited  to  traumatic  gangrene  alone,  yet  this  remains 

to  be  proven. 

Method  of  Using  the   Warm-  Water  Bath. 

For  the  arm  and  hand  we  have  an  oblong  zinc  bath,  23  inches  long  by  8  inches 
wide  and  8  in  depth,  with  somewhat  flaring  margins  where  the  arm  is  to  enter, 
supplied  with  a  movable  cover,  which  leaves  an  opening  for  the  arm,  and  provided 

Pig.  180.    Bath  for  Arm,  Forearm,  and  Hand. 

Price  $13.00. 


with  a  stop-cock  to  enable  us  to  draw  off  and  renew  the  water.  Along  the  upper 
and  outer  margin  of  the  bath  are  arranged  small  wire-pins,  upon  which  pieces  of 
cloth  may  be  fastened  for  the  purpose  of  suspending  the  limb.  Care  must  be  taken 
not  to  allow  the  limb  to  rest  against  the  edge  of  the  bath,  so  as  to  interfere  with  the 
circulation,  and  it  must  be  carefully  adjusted  upon  a  shelf,  beside  the  bed,  in  such  a 
position  as  will  be  most  comfortable  to  the  patient. 

For  the  lower  extremity  a  zinc  bath  is  used  also,  somewhat  larger,  the  floor  being 
in  the  form  of  an  inverted  roof,  the  apex  of  which  is  below;  the  base  being  repre- 
ented  by  the  open  top  of  the  bath  ;  this  latter  is  provided  also  with  a  movable  cover. 
The  apex  is  supported  by  a  wooden  frame  and  horizontal  board.  This  bath  is,  like 
the  arm-bath,  provided  with  pins  for  suspension  of  the  limb,  and  a  stop-cock. 

In  the  case  of  the  foot-bath,  when  it  is  found  uncomfortable  to  project  the  foot 
from  the  side  of  the  bed,  the  portion  of  the  bed  upon  which  the  body  reposes  is  el- 
evated by  mattresses,  and  the  bath  is. placed  on  the  floor  of  the  bedstead. 

We  have  not  thought  it  necessary  to  keep  the  water  at  an  absolute  uniform  tem- 
perature, so  that  its  management  is  left  very  much  to  the  judgment  of  the  patient 


116 


Part  IV. 

GEO.    TIEMANN    &    CO.'S    SURGICAL    INSTRUMENTS, 


F.  A.  Stohlmann. 


Edward  Pfarre. 


or  his  attendant ;  but  usually  it  has  been  kept  at  such  a  temperatui'e  as  to  feel  warm 
to  the  hand  of  the  attendent — and  this  is  found  to  be  about  95*  Fahrenheit.     Suffic- 
ient uniformity  has  been  attained  generally  by  changing  the  water  three  times  daily- 
Fig.  181.    Bath  for  the  Lower  Extremity. 

Price  $15.00 


In  case  of  a  recent  wound,  where  secondary  hemorrhage  is  at  all  liable  to  occur, 
the  limb  is  dressed  for  a  few  hours  with  either  warm  or  cold  fomentations,  and  is 
left  reposing  in  bed  ;  but  neither  sutures,  adhesive  plasters,  nor  bandages  are  applied. 
At  the  expiration  of  this  time  either  the  bath  or  the  warm-water  fomentations  ai'o 
commenced,  and  thereafter  employed  systematically.  The  patient  is  at  liberty  at 
any  time  to  lift  the  limb  from  the  bath,  and  he  generally  does  this  pretty  often,  to 
see  how  it  is  progressing. 

Warm-ioater  fomentations  are  regarded  by  us  as  always  second  in  value  to  sub- 
mersion in  the  preventing  and  cure  of  inflammation,  and  they  are  reserved,  therefore 
for  those  examples  in  which  submersion  for  one  or  another  reason  cannot  j^roperly 
be  employed. 

Fomentations  are  employed  by  us  after  about  the  fourteenth  day  in  all  those  cases 
in  which  we  employ  submersion  at  first — occasionally,  when  the  patient  is  weaiy  of 
the  confinement  of  the  bath,  the  limb  is  taken  out  and  fomented  during  the  night. 

We  employ  fomentations  in  amputations  and  other  incised  wounds  when  union 
by  first  intent  is  desired ;  in  lacerated  and  contused  wounds  which  cannot  be  sub- 
jected to  immersion;  in  most  examples  of  idcers;  in  many  syphilitic  and  cancerous 
sores;  in  some  simple  contusions  and  sprains.  In  short,  to  repeat  what  lias  been  al- 
ready intimated,  with  warm  M^ater,  either  in  the  form  of  the  bath  or  fomentation, 
we  treat  nearly  all  surgical  accidents.  Carbolic  acid,  the  chlorinate  of  soda  or  lime, 
and  other  antiseptics  being  reserved  for  very  rare  and  exceptional  cases. 

In  using  the  fomentations  we  envelop  the  wound  and  limb  in  several  folds  of  sheet 
lint  or  soft  old  muslin,  saturated  with  warm  water,  the  Avhole  being  enclosed  in  oiled 
silk  or  vulcanized  rubber.     This  is  chauixed  about  once  in  four  or  six  hours. 


Price  of  Adhesive  Plaster, 

"     "    Moleskin  Adhesive  Plaster,  (on  twilled  goods) 
"     "    Roller  Bandage. 


per  yard  $  .75 

per  yard  $1.50 

per  pound,  $1.50 


Part  IV. 
67   CHATHAM   STREET,    NEW-YORK.  ^^ 

Branch  Store,  107  East  28th  St.,  N.  Y. 


Extracted  from  the  Philadelphia  Medical  Times,  Sept.  4th,  1875. 

Fig.  182.    Dr.  Allan  McLane  Hamilton's  Revulsor. 


Price,  $8.00. 


Every  neurologist  is  overrun  by  a  class  ot" patients  that  constitute  a  certain  ojppro- 
hrium  m-^diGorum.  These  are  patients  witli  dysaesthesise,  spinal  irritation,  and  a 
few  other  maladies,  confined  chiefly  to  women,  and  dependent  upon  uterine  diseas- 
es. After  the  employment  of  many  remedies,  and  after  finding  hopeless  results, 
constituted  either  by  relapses  or  temporary  improvement,  the  case  is  discharged. 
In  these  cases  I  found  the  alternate  use  of  heat  and  cold  to  be  followed  by  the  most 
desirable  effects,  particularly  in  spinal  irritation.  Of  twenty-six  cases  of  this  kind 
I  have  cured  fifteen,  and  have  greatly  improved  all  the  others.  I  had  used  phosphorus 
and  electricity  with  indifferent  success,  but  the  alternate  application  of  heat  and  cold 
to  the  spine  produced  a  decided  impression.  I  at  first  directed  the  patients  to  era. 
ploy  icebags,  and  hot  fiat-irons  covered  by  fiannel,  but  subsequently  made  use  of 
the  instrument  I  will  presently  describe.  In  hysterical  affections  this  mode  of 
treatment  was  of  great  use,  particularly  those  forms  characterized  by  lividity  of 
the  surface  and  unconciousness,  with  rigidity.  The  surface  became  warmer  and 
the  circulation  much  more  equable  after  ten  or  fifteen  minutes'  use  of  the  revulsor. 

For  the  alternate  application  of  heat  and  cold  I  have  devised  the  instrument 
figured  in  the  cut.  It  consists  of  two  chambers  of  brass  two  and  a  half  inches  in 
diameter  by  one  and  a  half  inches  deep.  These  have  ^crew  plugs  inserted  so  that 
they  may  be  removed  and  the  chambers  filled,  one  with  cold  water  and  salt,  the 
other  with  hot  water.  These  chambers  are  fixed  on  a  rod,  and  separated  by  an 
insulating  or  non-conducting  substance.  The  rod  terminates  in  a  handle.  The  fiat 
surface  covered  by  thin  flannel  is  placed  against  the  bare  back,  on  either  side  of  the 
spinous  processes  of  the  vertebra,  and  the  instrument  is  passed  up  and  down  quite 
rapidly.  As  the  heated  surface  moves  instantaneously  to  where  the  cold  one  was 
an  instant  before,  the  effect  is  quite  marked. 

Dry  heat  and  dry  cold  are  much  better  as  therapeutical  agents  than  moist  heat 
or  moist  cold.  The  effect  is  energetic ;  the  skin  is  influenced  more  quickly,  as  there 
is  no  fluid  between  to  act  as  a  non-conductor. 

In  paralytic  conditions,  local  application  of  the  revulsor  to  the  muscles  themselves 
seemed  to  increase  the  circulation  in  the  tissues  much  more  vigorously  and  success- 
fully than  did  the  faradic  current. 

Heat  and  cold,  I  am  convinced,  are  valuable  remedies  that  have  not  been  thor- 
oughly  made  use  of. 


JPabt  IV. 


118  GEO.   TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Pig.  183.    Denison's  Extension  Windlass. 

Price,    $1.50. 

This  little  instrument  is  intended  to  serve  surgeons  in  country  practice,  who,  not 
being  able  to  resort  to  an  iustrnment  maker  in  urgent  cases,  ai'e  compelled  to  de- 
pend on  tlieir  own  skill  to 
devise  means  of  treating  frac- 
tures or  deformities.  It  is  a 
substitute  for  the  screw-pow- 
er, or  the  rack  and  pinion 
and  may  be  attached  to 
wooden  supports  or  splints. 
If  attached  by  one  screw  it 
will  be  movable,  swivel  like, 
self-adjusting;  if  fastened  by 
two  or  more  screws  it  is 
made  stationary. 

Extension  Windlass. — A,  £,  and  C,  hole  for  screws  or  tacks :  If,  winding-rod, 
slotted  at  G,  squared  at  ^^,  for  key  /,  and  held  in  position  by  ratchet^ and  pinion 
D,  with  spring-attachment  J.  Length  of  the  winding-rod,  two  and  one-quarter  in- 
ches ;  between  the  arm  of  the  brackets,  one  and  three-quarters  inch. 


A  A  and  B  J^,  extension  and  counter-extension  windlass,  s,  each  fastened  by  one 
screw  to  wooden  posterior  splint ;  O  O,  fan-shaped  adhesive  plasters,  crossing  each 
other  at  C,  and  threaded  through  winding-rods  F -F]'  D,  padded  roller  over  liga- 
mentum  patellae,  the  ends  of  which  are  threaded  through  winding-rods  H  JI,-  E, 
reserve  counter-extension  to  relieve  D  from  uncomfortable  pressure  in  front  of  knee 
II.,  point  at  which  splint  is  bandaged  to  the  limb. 

A,  wooden  foot-piece,  about  one-third  inch  thick,  to 
which,  at  D  and  J  J,  the  supports  O  B,  of  the  extension 
windlasses,  G  F,  are  fastened.  SI-,  fan-shaped  adhes- 
ive plasters  in  position.  Braces  to  go  over  instep  (after 
Dr.  L,  A.  Sayre's  apparatus)  are  fastened  to  slat  (7,  at  F. 
The  windlasses  G  F,  are  reversed  and  made  stationary  on 
the  upper  ends  of  the  thin  slats,  so  as  to  draw  the  adhesive 
plasters  close  to  the  limb,  and  over  the  winding-rods. 

Many  other  uses  and  methods  of  attachments  will  sug- 
gest themselves  to  the  ingenious  surgeon.  Our  space 
does  not  allow  a  fuller  description  for  which  we  refer  to 
"  The  New  Yoi-k  Medical  Record  May,  1875." 


Pakt  IV. 

67  CHATHAM   STREET,    NEW-YORK  119 

Branch  Store,  107  East  '^Bth  St.,  N.  Y. 


Fig.  184.    Esmarch's  Tourniq^net. 

Extracted  from  Sammlung  Klinischer  VoRTR/iiGE,  No.  58,  Leipzig,  1873. 

Price,  $3.T5. 


*  *  *  *  "I  shall  perform  an  operation  (necrotomy,  both  legs)  which 
would  cause  a  much  more  profuse  hemorrhage  than  that  of  yesterday,  did  I  not 
adopt  a  method  which  will  enable  us  to  completely  control  the  bleeding. 

"■While  the  ansesthetic  is  being  administered,  we  envelop  the  lower  portion  of 
the  limb  in  oil  silk,  to  prevent  soiling  the  bandage;  then  we  bandage  the  legs 
tightly  from  the  toes  to  above  the  knees  with  this  elastic  rubber  bandage  (A),  which, 
by  gradual  compression,  forces  the  blood  out  of  the  vessels  of  the  limb.  Immedi- 
ately above  the  knee,  where  the  bandage  terminates,  we  wind  the  rubber  cord  or 
tubing  (B)  four  or  five  times  around  the  thigh,  and  join  the  one  extremity  by 
means  of  the  attached  hook  to  the  chain  at  the  other  end.  The  rubber  tubing  or 
cord  compresses  all  the  soft  parts,  including  the  arteries,  in  such  a  perfect  manner 
that  not  a  drop  of  blood  can  enter  the  bandaged  portion  of  the  limb. 

"This  tourniquet  possesses  the  advantage  over  all  others,  viz. :  it  can  be  adjusted 
to  any  portion  of  the  limb,  and  the  location  of  the  principal  arteries  need  not  be 
considered. 

"  We  now  remove  the  elastic  bandaging  and  the  oil  silk,  and  you  will  notice  that 
both  legs,  below  the  tourniquet,  present  the  appearance  of  the  limbs  of  a  corpse, 
the  pallor  of  the  same  forming  a  remarkable  contrast  to  the  rosy  hue  of  the  skin 
above.  You  will  also  notice  that  we  will  operate  exactly  as  though  on  a 
cadaver.       *       *       *       * 

"  After  the  operation,  the  rubber  cord  is  slowly  removed,  the  circulation  restored, 
"and  those  arteries  which  have  previously  remained  unnoticed,  tied.      *       ■»       * 

The  slumbering  patient  presents  the  same  appearance  as  before  the  operation,  his 
pulse  is  full  and  strong,  and  convalescence  will  no  doubt  follow  much  more  rapidly 
and  surely  than  if  we  had  performed  the  operation  in  the  customary  manner. 

"  The  tourniquet  can  be  used  with  more  or  less  complete  success  in  nearly  all 
operations  on  the  extremities.  In  extii-pation  of  tumors,  in  the  removal  of  scroful- 
ous sores  or  caries,  and  resections  of  small  bones  or  joints,  you  can  proceed  in  the 
manner  I  have  just  demonstrated,  viz.  :  you  need  not  loosen  the  tourniquet  until 
the  wound  has  been  dressed." 


Part  IV. 

120  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A-  Stohlmann.  Edward  Pfarre. 


Spine   Bags 


FOR  THE  APPLICATION  OF  DRY  COLD  AND  HEAT  ALONG  THE  SPINE. 


Fig.  185.    Spinal  Ice  Bag. 

Price,  $4.50  to  $10.25. 

Directions  fok  Preparing  and  Applying. 

Put  ice  (broken  into  pieces  about  the  size  of  a  nut  or  small 
walnut)  into  the  opening  of  the  bag,  on  the  side  nearest  to  the 
loops,  until  the  contents  of  the  lowest  cell  reach  up  to  the 
bottom  of  the  second  cell ;  then  put  ice  in  the  middle  opening 
until  it  reaches  up  to  the  bottom  of  the  third  cell ;  and  finally, 
fill  the  top  cell.  Then  close  the  bag  with  the  c\-Am-p, plaGi?ig 
it  on  the  thickened,  hand-like  part  around  the  mouth,  and 
letting  the  screws  be  on  the  same  side  as  the  loops  of  the  bag. 
When  the  clamp  is  properly  applied,  a  very  moderate  pressure 
by  its  screws  is  needful  to  make  the  bag  water-tight.  All 
pressure  beyond  what  is  needful  injures  the  bag.  Care  must 
be  taken  that  each  cell  is  not  so  filled  as  to  cause  it  to  become 
round,  otherwise  only  a  small  portion  of  the  bag  will  touch  the 
back.  It  is  also  expedient  that  the  contents  of  the  several  cells 
should  only  slightly  overlap  each  other. 

In  applying  the  bag,  place  the  smooth  side  of  it  in  apposition  with  the  back,  the 
side  bearing  the  loops  being  turned  outwards.  The  bag  may  be  kept  in  its  position 
in  various  ways.  If  it  is  intended  to  be  used  for  only  a  short  time,  or  if  the  patient 
be  in  bed,  the  best  plan  is  to  lie  upon  it,  taking  care  that  it  is  exactly  along  the 
centre  of  the  back.  If  the  patient  should  wish  to  move  about,  pass  the  elastic  band 
round  the  head,  in  order  that  it  may  hold  the  upper  cell  close  to  the  back  of  the 
neck,  and  sustain  the  bag  by  fastening  the  clothes  tightly  outside  of  it ;  or  pass  a  long 
tape  through  the  lower  loop,  carrying  each  half  of  this  tape  over  the  shoulders, 
crossing  one  over  the  other  in  front  of  the  chest,  carrying  them  backwards  round 
the  waist,  in  order  to  clasp  the  bag  closely  into  the  small  of  the  back,  and  then, 
bringing  them  forward,  tie  them  in  front.  The  bag  will  thus  be  sustained,  and  with- 
out allowing  any  of  its  weight  to  depend  from  the  head.  In  this  case  the  patient 
may  move  or  walk  about  without  any  discomfort  while  wearing  the  bag. 

As  ice  contains  a  considerable  amount  of  air,  this  air,  as  the  ice  melts,  accumulates 
at  the  top  of  the  bag,  and  being  a  bad  conductor  of  heat,  prevents  the  still  unmelted 
ice  which  it  surrounds  from  exerting  its  intended  influence  :  it  is  therefore  necessary 
to  unscrew  the  clamp  occasionally,  in  order  to  let  the  air  escape,  and,  if  the  bag  is  to 
be  worn  for  a  considerable  time,  to  replace  the  air  by  a  little  fresh  ice. 


Part  IV. 
67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store,  107  East  28th  St.,  N.  Y. 


121 


Fig.  1851d.    TurnMl's  Ice  Bag 

FOK  THE  APPLICATION  OF  COLJJ  TO  THE 
EYE  TO  SUBDUE  HSTFLAMATION. 


Fig.  186.    Andrew's  Apparatus  for  Inflamed  Ankle  Joint. 

For  some  years  I  have  used  with  the  greatest  satis- 
faction and  excellent  results  the  following  simple  device. 
The  cut  gives  a  correct  idea  of  it. 

The  top  of  the  foot  and  the  lower  half  of  the  leg  con- 
stitute two  cones,  whose  apices  meet  at  the  ankle.  Now 
if  any  moderately  firm  and  well  fitting  material  surround 
these  parts,  and  be  laced  together  with  some  firmness, 
the  two  cones  will  be  pressed  apart,  and  extension  of 
the  ankle  secured,  or,  to  put  it  in  diiferent  terms,  the  in- 
verted cone  laced  to  the  leg  is  a  counter  extending  force, 
while  the  lacing  together  of  the  hollow  cone  embracing 
the  upper  surfaces  of  the  foot,  tend  to  push  that  member 
downward,  and  thus  makes  extension  upon  the  joint. 
To  construct  this  a  plaster  cast  should  be  taken  of  the 
foot  and  leg,  with  the  foot  hanging  free  and  pointing  somewhat  downward.  This 
position  is  found  by  experience  to  be  much  the  best.  A  piece  of  wet  russet  harness 
leather  is  wrapped  around  the  cast  and  crimj^ed  to  a  perfect  fit  by  winding  a  stout 
cord,  or  a  piece  of  webbing  all  over  it.  The  leather  laps  over  itself  in  front.  After 
a  few  hom-s  drying  in  an  oven,  or  on  a  stove,  the  leather  hardens  and  retains  its 
shape.  Before  applying  the  leather,  a  little  building  out  of  the  malleoli  of  the 
cast  should  be  done  with  plaster  of  Paris,  that  the  leather  may  be  well  moulded 
out,  and  not  press  painfully  on  those  prominences.  Eyelets  are  set  in  the  over- 
lapping edge,  and  in  a  strip  of  leather  sewed  to  the  part  opposite  it,  so  as  to  allow 
of  lacing  it  up  to  any  desired  tightness.  The  eyeletted  edges  of  the  leather  should 
be  wider  apart  on  the  dorsum  of  the  foot  than  elsewhere,  as  owing  to  the  yielding 
of  that  member,  the  edges  lace  together  more  than  on  the  leg.  The  brace  is 
finished  by  pasting  in  a  chamois  leather  lining.  It  fits  the  limb  like  wax,  keeps 
up  a  gentle  and  desirable  pressure  on  the  joint,  maintains  immobility  and  pushes 
down  the  foot  so  as  to  make  an  effective  extension  of  the  ankle-joint.  No  screws, 
racks  and  pinions,  nor  even  adhesive  straps  are  required.  The  action  of  the  in- 
strument has  pleased  me  beyond  measure  by  its  simplicity,  the  ease  with  which 
it  can  be  taken  off  and  re-applied,  and  its  efficiency  in  cm-ing  the  inflammation. 

The  same  principle  can  be  temporarily  carried  out  by  means  of  a  dextrine  splint 
open  behind,  and  compressed  by  an  elastic  bandage,  or  even  by  a  common  roller. 


Part  IV. 


122  GEO.  TIEMANN   &  CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  187.    Andrew's  Brace  for  Inflamed  Knee- Joint. 

If  tlie  knee  can  still  be  straightened,  I  apj)ly  the  follow- 
ing apparatus : 

The  leather  lacer  at  the  top  spreads  its  pressure  over  a 
wide  surface,  and  also  sj^reads  out  somewhat  upon  the 
bulge  of  the  nates,  so  that  hardlj  a  perceptible  pressure  is 
exerted  upon  the  veins  at  any  one  point ;  scarcely  any, 
hence  there  is  little  or  no  tendency  to  that  venous  con- 
gestion and  swelling  of  the  parts  below,  which  authors  say 
the  ordinary  apparatus  produces  if  no  bandage  is  used,  yet 
I  think  that  the  practice  of  employing  a  compression 
bandage  is  useful  to  the  knee,  even  if  no  tendency  to 
swelling  exists. 

a.    Leather,  laced  in  front. 

h.     Steel  plate,  rivetted  to  each  side. 

c.     Rod,  terminating  in  slot  s,    A  similar  rod  is  on  the 

other  side  of  the  limb. 
s.     Slot,  with  a  friction  roller. 
g.    Adhesive  straps,  to  the  lower  end  of  which  an  elastic 

band  is  sewed. 
A.  Elastic  band,  terminating  in  a  leather  strap,  which  is 
passed  through  the  slot  s,  and  turned  up,  and,  being 
strongly  stretched,  is  buttoned  to  a  knob,  d. 
The  rod  c  is  much  slenderer  than  represented  in  the  engraving,  and  is  loosely 
jointed  to  the  steel  plate  h.  The  broad  perpendicular  adhesive  strap  should  ter- 
minate a  little  above  the  slot  s.  To  the  lower  end  a  stout  elastic  band  is  sewn,  a 
few  inches  long,  and  of  the  kind  used  by  some  wooden-leg  makers  for  springs.  A 
leather  strap  is  sewn  to  the  elastic. 

The  opposite  side  of  the  limb  is  armed  in  the  same  way.  The  hip  leather  being 
laced  on,  the  strap  and  elastic  bands  carried  down  to  the  slot  s,  whose  upper 
border  is  made  by  a  little  friction  roller  that  the  band  may  run  easily.  The 
strap  being  drawn  through  the  slot,  is  then  stretched  firmly  upward  by  the  hand  and 
buckled  to  the  knob  d.  It  will  be  observed  that  while  at  first  glance  this  may 
seem  to  be  pulling  up  instead  of  downward,  yet  the  fact  is,  the  elastic  in  passing 
under  the  friction  roller  changes  its  direction,  and  in  fact,  pulls  strongly  down- 
ward on  the  adhesive  plaster  and  the  limb  to  which  it  is  attached.  The  same  man- 
oeuvre repeated  on  the  opposite  side  doubles  the  force  of  the  extension.  The  use 
of  the  elastic  bands  is  not  strictly  necessary.  A  double  tape  carried  through  the 
slot  and  tied  over  the  knob,  is  simpler,  and,  if  properly  attended  to,  is  equally 
efiicient ;  but  the  elastic  is  convenient,  because  in  any  yielding  or  stretching  of 
the  dressings  its  contractibility  still  keeps  up  the  tension,  without  requiring  so 
much  watchfulness  on  the  part  of  the  surgeon.  ■  Elastic  bands  were  in  common 
use  fifteen  years  ago,  but  of  late  have  been  much  neglected.     If  occasion  demands 


Pakt  IV. 

67   CHATHAM    STREET,  NEW-YORK.  123 

Branch  Store,  107  East  38th  St..  N.  Y. 

it,  the  surgeon  can  easily  constrnct  an  extempore  form  of  t])is  s])]int,  using  simply 
leather,  wood,  and  a  few  screws,  and  putting  them  together  with  his  own  hands. 

It  will  be  observed  that  there  are  no  racks  and  pinions,  screws,  nor  other  me- 
chanical contrivances  for  increasing  the  power.  The  amonnt  of  extending  force 
required  on  a  straight  inflamed  knee  is  never  very  great,  and  never  beyond  what 
the  hands  can  readily  exert  by  simply  pulling  firmly  first  upon  one  strap  and  then 
upon  the  other. 

There  is  no  ring  or  band  surrounding,  the  limbs  at  the  lower  end  of  the  instru- 
ment, because  such  a  thing  is  useless.  The  slot  is  kept  in  place  by  the  band  which 
passes  through  it,  and  cannot  possibly  get  away.  If  it  is  desired  to  remove  the 
apparatus  for  any  purpose,  all  that  is  necessary  is  to  unbutton  the  two  straps,  when 
the  brace  can  be  slipped  instantly  off  over  the  foot,  and  can  be  as  easily  re-applied. 
It  is  light,  convenient,  painless,  and  efficient. 

Directions  foe  Measurement. 

1.  Circumference  of  thigh  close  to  bulge  of  nates. 

2.  Circumference  of  thigh  one  inch  above  top  of  patella. 

3.  Distance  of  these  two  circumferences  from  each  other. 

4.  Distance  from  upper  circumference  to  a  point  two  inches*  above  lower  end  of 

malleolus. 


Andrew's  Elbow  and  Wrist  Splints. 

For  chronic  inflammation  of  the  wrist^  I  use  the  following  easily  constructed  ap- 
paratus. A  rectangle  of  thin  brass  or  tin  is  bent  into  the  form  of  half  a  cylinder, 
long  enough  to  extend  from  the  elbow  to  the  tips  of  the  fingers.  At  each  side 
of  the  elbow  is  a  slot  and  friction  roller.  At  the  other,  end  are  two  eye-holes  in 
the  end  of  the  brass,  half  an  inch  in  diameter.  The  hand  being  enveloped  in 
rubber,  adhesive  plaster,  with  tapes  attached,  is  secured  by  tying  the  latter  into 
the  eye-holes.  Other  plasters  on  the  fore-arm  above  the  wrist  have  elastic  bands 
attached  to  their  upper  extremities,  terminating  in  thin  leather  straps.  The  latter 
pass  over  the  friction  rollers  at  the  top  of  the  instrument,  turn  downward,  and 
are  buttoned  to  knobs  on  either  side.     This  makes  perfect  extension. 

If  the  elhoio  requires  extension,  either  in  a  straight  or  bent  position,  the  same 
principle  is  perfectly  available  by  merely  varying  the  form  of  the  tin  case.  The 
friction  rollers  so  often  referred  to  are  the  simplest  possible  things,  they  consist 
of  simple  pieces  of  strong  wire  soldered  to  the  brace,  so  as  to  cross  the  desired 
edge  of  the  slot.  A  little  cylinder  of  tin  or  brass  loosely  surrounds  the  wire,  so 
as  to  revolve  freely  when  the  elastic  band  is  drawn  over  it.  These  things  are 
simple,  easily  made  and  easily  managed.  The  whole  complex  system  of  screws, 
nuts,  racks,  pinions  and  extension  bars  of  every  description,  are,  in  nine-tenths  of 
the  cases,  cumbrous  abominations  compared  with  the  less  complicated  plans.  I 
confess  to  having  used  them  in  former  years,  but  at  present  I  only  employ  them 
in  a  few  peculiar  cases. 


Pakt  IV. 


124  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

Fig.  188.   Andrew's  Splint  for  Inflamed  Knee  in  the  tent  position. 

a.  Leather  laced  in  front,  h. 
Brass  splint,  hammered  to  fit  the 
limb.  c.  A  knob.  d.  Leather 
strap,  f.  Elastic  band.  g.  Slot 
and  friction  roller,  k.  Adhesive 
strap,  to  the  lower  end  of  which 
the  elastic  band  is  sewn,  then  passed 
through  the  slot,  drawn  strongly 
up,  and  its  leather  buttoned  to  the 
knob  G.  The  adhesive  straps  must  terminate  somewhat 
above  the  slot. 

If,  as  often  ha^ipens,  the  knee  is  not  only  inflamed,  but 
also  fixed  in  a  hent  position^  most  surgeons  hold  that  it 
is  necessary  to  straighten  the  knee,  before  an  apparatus 
can  be  worn.  ISTow  the  straightening  process  itself  is  irri- 
tating, and  tends  to  exasperate  the  inflammation.  I  have 
resorted  Math  decicled  advantage  to  the  following  plan :  A  plaster  cast  is  first 
taken  of  the  posterior  half  of  the  limb,  from  the  nates  to  the  heel.  To  this  a 
thin  splint,  5,  of  hammered  brass,  is  fitted.  The  upper  part  is  completed  by  the 
addition  of  leathers,  «,  which  lace  in  front,  and  by  thus  embracing  the  thigh  and 
the  lower  portion  of  the  hip  in  its  hollow  frustrum  of  a  cone,  makes  a  basis  for 
counter  extension.  A  slot,  </,  is  made  on  either  side  of  the  lower  end,  and  pro- 
vided, as  in  the  former  apparatus,  with  a  slender  friction  roller  on  the  upper 
border.  Adhesive  strips  are  applied  in  the  same  manner  as  before,  terminat- 
ing in  elastic  bands  or  doubled  tapes,  which  pass  down  through  the  slots,  and 
turning  up  across  the  rollers,  button  or  tie  to  the  knobs,  g.  By  some  addition  to 
its  details,  this  apparatus  can  have  a  joint  to  the  knee,  and  be  made  to  gradually 
straighten  it. 

Directions  for  Measurement. 

Iw  order  to  make  the  brass  splint  a  good  fit,  a  plaster  cast  should  be  taden  of 
the  limb  and  sent  to  us. 

Fig.  189.   Sayre's  Plaster  Paris  Shears. 

Price,  $7.00. 


Part  IV. 
67   CHATHAM    STREET,  NEWiYORK.  125 

Branch  Store,  ^^  107  East  28th  St.,  N.  Y. 

Pig.  190.    Andrew's  Instrument  for  Straightening  Bent  Knees. 

a  a.  Sheet  steel  pads,  lined  with 
chamois,  embracing  posterior  half  of 
leg  and  thigh.  J.  A  curved  screw, 
on  which  a  nut  turns,  to  make  forced 
extension,     c.  Knee  cap. 

Many  surgeons  still  rivet  tlie  thigli 
and  leg  pieces,  aa^  fast  to  the  rods 
that  pass  to  the  joint  of  each  knee, 
thus  making  each  arm  of  the  appara- 
tus a  rigid  lever.  The  evil  of  this  plan 
is  that,  in  spite  of  the  knee-cap,  c,  Mdien  the  extension 
force  is  applied,  the  centre  of  the  instrument  draws  back 
a  little,  and  the  entire  pressure  is  made  at  the  upper  and 
lower  ends,  near  the  hip  and  the  ankle.  Here  the  instru- 
ment digs  painfully  into  the  flesh,  in  spite  of  all  precau- 
tions. To  avoid  this,  the  armor-pieces,  a  a,  should  hang 
by  their  centres,  as  a  cannon  hangs  by  its  trunnions,  by 
movable  joints,  so  that  they  always  apply  themselves  pain- 
lessly to  the  surface  of  the  limb,  j)ressing  equally  in  all  parts.  This  part  of  the 
plan  has  been  in  use  quite  a  number  of  years,  and  seems  to  have  occurred  almost 
simultaneously  to  several  surgeons,  while  it  is  still  unaccountably  neglected  by 
others.  Being  an  old  device  among  mechanics,  its  invention  can  not  be 
specially  credited  to  surgeons.  The  power  required  for  the  extension  has 
usually  been  obtained  either  by  a  straight  brace  screw  behind  the  knee,  or  by  a 
small  endless  screw  on  the  side.  The  straiglit  brace  screw  has  the  incon- 
venience of  being  in  the  way  when  the  patient  desires  to  sit  in  a  chair.  The 
endless  screw-joint  is  by  far  the  neatest  and  most  compact  power  that  has  been 
used,  but  it  has  the  objection  of  being  expensive  ;  and,  moreover,  as  it  is  so  close 
to  the  centre  of  motion,  the  pressure  of  the  teeth  of  the  semi-circle  is  immense, 
and  not  unfrequently  breaks  them.  Expensiveness  is  a  serious  objection  for  great 
numbers  of  patients  who  need  treatment ;  I  have,  therefore,  sought  to  combine 
the  economy  of  the  screw  with  the  convenience  of  the  endless  screw-joint.  For 
this  purpose  I  attach  on  each  side  a  simple  screw,  bent  to  a  semi-circle.  The  screw 
is  riveted  firmly  to  the  upper  arm  of  the  instrument,  and  runs  through  a  per- 
forated projection  of  the  lower  arm.  A  nut,  turned  by  a  key,  fui'nishes  the  re- 
quisite power  to  force  the  limb  to  a  straight  position. 

Directions  foe  MEAsuREMEisrT. 


Circumference  at  top  of  thigh.  Inches. 
Circumference  above  the  knee,        " 
Circumference  at  the  knee,       .        " 
Circumference  below  the  knee,        " 
Circumference  about  the  ankle,       " 


Distance   from   the   centre    of 

knee  to  perineum,        .         .  Inches. 
Distance  from  knee  to  above 

maleolus,    .         .         .         .       " 
Eight  or  left  leg. 


Part  IV. 

126  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  191.    Andrew's  MorTDus  Coxarius  Splint. 

a.    Top  pad,  applied  just  below  crest  of  ilium. 
h.     Screw,  sliding  in  tube,  c,  and  regulated  by  a  nut. 
rl.    Perineal  band. 

(/.  Half  band  of  steel  in  front  of  thigh. 
e.  Adhesive  straps,  fastened  to  lower  end  of  instru- 
ment, both  sides  of  the  thigh,  by  tapes. 
All  the  splints  for  treating  morhus  Goxarius  are  modi- 
fications of  the  original  idea  of  Dr.  H.  Davis.  Most  of 
them  make  extension  by  means  of  a  rack  and  ]3inion,  which 
works  well.  Surgeons  living  in  country  districts,  how- 
ever, find  it  rather  difficult  to  get  them  constructed  by 
their  home  mechanics.  They  are  deterred  especially  by  the 
rack  and  pinion,  which  looks  simjjle  enough,  but  which  is 
very  difiicult  of  construction  to  country  locksmiths  and 
gunsmiths.  In  such  circumstances  I  have  often  advised 
the  country  surgeon  to  substitute  a  screw  sliding  in  a  tube, 
for  the  ordinary  extension  bar,  and  the  whole  difticulty 
then  disappears.  The  extension  is  regulated  by  the  nut, 
which  can  be  made  hexagonal,  and  turned  hy  a  little 
wrench;  but  even  this  is  not  necessary.  If  the  nut  is 
made  to  work  easily,  the  surgeon  can  seize  the  tube  in  one  hand,  and  the  screw  in 
the  other,  and  easily  make,  with  his  hands,  all  the  extension  the  patient  will 
tolerate,  while  the  thumb  turns  the  nut  down  against  the  tube  to  hold  the  ex- 
tension. The  nut  should  have  a  little  knob  or  tooth  on  its  lower  side  to  fit  into  a 
notch  in  the  top  of  the  tube,  to  prevent  it  turning  spontaneously  during  the  move- 
ments of  the  patient.  The  accompanying  cut  shows  the  screw  fitted  to  a  splint 
somewhat  like  that  of  Sayre.  The  steel  semi-circular  band,  ^,  goes  half  around 
the  front  of  the  limb,  and  on  the  opposite  side  has  a  short  rod  projecting  down 
beside  the  knee  to  tie  tapes  to,  like  the  one  shown  on  the  hither  side  in  the  cut. 

In  certain  cases  it  is  desirable  to  use  a  long  sj^lint,  coming  down  to  the  foot, 
and  riveted  into  the  heel  of  the  shoe.  In  that  case  the  adhesive  straps  are  trans- 
ferred to  the  leg,  and  the  tapes  tied  to  eyelets  or  knobs  properly  secured  to  the 
lower  end  of  the  rod,  or  to  the  shoe.  The  modifications  required  are  obvious  and 
simple,  and  do  not  need  an  engraving  to  be  understood. 

The  belt  strap  around  the  waist,  and  the  strap  to  buckle  around  the  lower  part 
of  the  thigh,  insisted  on  by  many  surgeons,  are  utterly  useless ;  the  instrument 
assumes  a  better  position  without  them.  Its  natural  direction  is  decided  by  the 
line  between  the  extremities  of  the  perineal  band  and  the  taj)es  on  the  adhesive 
straps ;  and  this  position  should  not  be  interfered  with. 

Directions  fok  Measueement. 
1.  Length   from   trochantor   major   to  knee-joint.     2.   Circumference  of  thigh 
above  knee.     3.  Length  of  Perineal  Band.  • 


a  a.  Shoulder  straps.  6  b.  Corset, 
lacing  in  front,  and  well  filled  with 
whalebone,  c  c  c  c.  Steel  framework. 
pp.  Pads,  pressing  on  each  side  of  the 
vertehrse. 


Part  IV. 
67  CHATHAM   STREET,  NEW- YORK.  127 

Branch  Store,  107  Ea.st  28th  St.,  N.  Y. 

Fig.  192.    Andrew's  Spine  Brace. 

The  construction  of  a  proper  spinal  supporter  re- 
quires the  presence  of  the  patient.  Whenever 
possible,  there  should  be  applied  to  the  case  the 
combined  skill  of  the  surgeon  and  of  the  instru- 
ment maker,  for  the  proper  adaption  of  apparatus 
to  the  varying  needs  of  spinal  disease  is  a  matter 
of  considerable  difficulty. 

The  j)l aster-jacket  is  of  little  use  in  Pott's  dis- 
ease, except  where  the  deformity  is  below  the  level 
of  the  axillae,  because  the  material  has  not  tenacity 
enough  to  carry  shoulder-straps  without  breaking. 
Moreover  it  can  not  be  easily  removed  for  bathing 
pur230ses,  and,  if  worn  a  long  time,  there  accumu- 
lates under  it  an  unhealthy  amount  of  decomj^osing 
cuticle.  On  account  of  these  and  other  inconveniences,  it  is  not  likely  to  super- 
sede well-made  spinal  supporters,  but  nevertheless  it  is  a  very  useful  resource  in 
many  cases. 

There  are  only  two  principles  (i.  e.  splint  and  corset)  of  any  real  value  in  this 
class  of  apparatus.  First :  The  splint  principle,  which,  applying  steel  splints 
with  proper  pads  along  either  side  of  the  spine,  seeks  to  lash  the  body  firmly  back 
to  the  splints.  This  is  not  merely  an  attempt  mechanically  to  arrest  the  growth 
of  the  deformity ;  it  is  curative  of  the  inflammation.  Every  vertebra  rests  on  three 
surfaces  of  support,  viz.  :  the  body  of  the  bone  in  front,  and  the  two  articular 
processes  behind.  The  body  of  the  bone  is  alone  diseased,  and  its  inflammation 
is  perpetuated  by  the  rocking  and  pressure  of  the  other  vertebrse  upon  it.  The 
articular  processes  are  perfectly  healthy  in  most  cases.  JSTow  by  flexing  the  spine 
well  back  against  the  splint,  the  pressure  is  brought  upon  the  healthy  articular 
processes,  and  taken  off  from  the  bodies  of  the  vertebrae,  which,  being  thus  re- 
lieved, get  well  spontaneously. 

Second :  The  corset  principle,  which  is  best  adapted  to  the  adult  female  form. 
Hei'e  the  wide  spread  of  the  hips  makes  a  rapidly  sloping  frustum  formed  by  the 
chest,  the  junction  of  the  two  being  at  the  smallest  part  of  the  waist.  If  a  well- 
fitted  corset,  full  of  whalebone,  be  a|)plied,  and  be  made  so  as  to  lace  in  front,  in- 
stead of  using  the  ordinary  steel  locks,  the  action  is  as  follows :  The  inverted  cone 
of  the  waist  rests  in  the  hollow  cone  of  the  upper  half  of  the  corset.  JN^ow,  by 
drawing  upon  the  strings  at  the  lower  cone,  the  corset  tends  to  rise  on  the  slope  of 
the  hips  and  to  push  up  the  cone  of  the  chest  with  it.  Hence  the  corset  princi])le 
is  a  valuable  auxiliary  in  adult  female  cases  and  to  a  less  extent  in  males  also.  In 
young  children  there  is  no  contraction  at  the  waist,  and  a  corset  acts  only  as  a  splint. 
Now  it  is  easy  to  combine  both  these  principles  in  one  instrument,  as  shown  above. 
The  corset  should  lace  and  not  lock  in  front.  The  drilling  of  which  it  is  composed 
must  be  gored  to  fit  the  waist  accurately,  and  it  should  be  filled  as  full  of  whalebone 
as  it  will  hold.    The  engraving  and  explanation,  Fig.  192,  will  render  the  plan  clear. 


Part  IV. 

128  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  StohliMann.  Edward  Pfarre. 

Fig.  193.   Sayre's  Suspension  Apparatus. 

USED  WHILE  APPLYING  HIS  PLASTEK  OF  PARIS  JACKET. 

Consists  of  a  curved  iron  cross-beam,  to  wliicli 
is  attached  an  adjustable  liead  and  chin  collar,  with 
straps  fitted  to  axillary  bands.  To  a  ring  in  the 
centre  is  hooked  a  compound  pulley,  the  otlier  end 
of  which  is  attached  to  a  hook  screwed  into  the 
ceiling.  An  iron  tripod  may  be  used  for  the  same 
purpose. 

The  bandage  used  by  Dr.  Sayre  in  making  his 
Plaster  Paris  Jacket  consists  of  loosely  woven 
material,  such  as  cross-barred  muslin,  mosquito 
netting,  or  crinoline.  This  is  torn  into  strips  three 
yards  long,  and  from  two  and  a  half  to  three  inches 
wide.  Its  meshes  are  filled  with  freshly-ground 
plaster  of  Paris,  and  then  rolled  up  loosely  like  an 
ordinary  roller ;  they  are  then  set  on  end  in  a 
basin  and  completely  covered  with  water.  As  soon 
as  the  escape  of  bubbles  has  ceased,  the  bandages 
are  ready  for  use. 

Application. — After  suspending  tlie  patient,  a 
shirt  woven  or  knit  without  seam,  and  tightly  fitting 
the  body,  is  pulled  down  and  an  opening  made  in 
front  and  rear,  through  w'lich  a  ribbon  or  piece  of  bandage  is  passed,  to  hold  in 
place  a  handkerchief  placed  in  the  perineum — avoiding  all  wrinkles  by  pulling  the 
shirt  well  over  the  hips.  Then  take  the  plaster  roller,  squeeze  it  gently  so  as  to 
remove  all  surplus  of  water,  and  commence  just  around  the  smallest  part  of  the 
body,  going  to  the  crest  of  the  ilium  and  a  little  below  it ;  lay  it  around  the  body 
smoothly  in  close  contact  with  all  the  irregularities  of  the  surface  (but  not  too 
lightly),  over  the  ilium  and  dipping  into  the  groin  and  over  the  abdomen  and 
dipping  into  the  groin  again,  and  so  on  from  below  upwards  in  a  spiral  direction, 
until  the  entire  trunk  has  been  enclosed  from  the  pelvis  to  the  axillae.  After  one 
or  two  thicknesses  of  bandage  have  been  applied,  narrow  strips  of  perforated  tin 
are  placed  in  parallel  with  each  other  upon  either  side  of  the  spine,  two  or  three 
inches  apart  and  in  suificient  number  to  surround  the  body,  and  another  plaster- 
roller  carried  around  the  body  to  cover  them.  These  strips  strengthen  the  band- 
age and  obviate  the  necessity  of  increasing  its  weight  by  additional  applications 
of  plaster. 

If  there  are  any  very  prominent  spinous  processes  which,  at  the  same  time, 
may  have  become  inflamed  from  lying  in  bed  or  by  pressure  from  instruments,  it 
is  well  to  guard  them  by  means  of  little  pads  of  cotton  placed  on  either  side  of 
them  before  applying  the  bandage. 

Dr.  Sayre  suggests  further :  to  take  two  or  three  thicknesses  of  roller  bandage, 


'  Part  IV. 

67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store,  107  East  28t}i  St.,  N.  Y. 


129 


three  or  four  inches  long,  and  place  them  over  the  anterior  superior  spinous  pro- 
cess of  each  ilium.  These  to  be  removed  just  before  the  plaster  has  completely 
set,  and  so  leave  the  bony  part  free  from  pressure  after  the  soft  parts  have 
shrunken  under  the  influence  of  the  contraction  produced  by  the  drying  of  the 
plaster.  Also,  just  before  tlie  plaster  has  set,  to  place  one  hand  in  front  of  tlie 
ilium  and  the  other  over  the  buttocks  and  squeeze  the  cast  together,  so  as  to  in- 
crease the  space  over  the  bony  prominences.  The  plaster  becomes  set  in  a  very 
short  time  and  the  patient  may  be  removed  from  the  suspending  apparatus  and 
laid  upon  the  face  or  back,  until  the  hardening  process  is  complete. 

Directions  for  Measurement. 

1.  Age  of  patient. 

2.  Circumference  of  head  around  chin,     .  .  .  .  Inches. 

3.  Circumference  of  head  around  occiput,      .  .  .  .  " 


Price  of  Sayre's  Suspension  Apparatus,  with  plain  pulleys, 

The  same,  with  double-hooked  cross-beam,  . 

The  same,  with  brass  dislocation  pulleys, 

Tripod,  ....... 

Cross-barred  Muslin,  per  yard,     .... 

Seamless  Shirts,  ...... 


$«.00 

.      9.00 

15.00 

.    10.00 

.22 

2.50  to  3.50 


Pig.  194.    Sayre's  Jury  Mast. 

Price,  $12.00. 

Consists  of  two  pieces  of  malleable  iron,  bent  to  fit  the 
curve  of  the  back.  To  the  lower  portion  are  attached 
three  or  more  roughened  tin  strips,  long  enough  to  go 
nearly  around  the  body.  From  two  cross-pieces  of  the 
upper  extremity  S23rings  a  central  shaft,  carried  in  a  curve 
over  the  head  and  capable  of  being  elongated  at  will. 
To  this  is  attached  at  its  upper  extremity  a  swivel  cross- 
bar with  hooks,  from  which  depend  straps  supporting 
a  head  and  chin  collar. 

AppliGation. — The  patient  having  been  encased,  in 
the  usual  manner,  in  a  few  thicknesses  of  plaster  roller, 
the  Jury  Mast  Apparatus  is  put  over  this,  care  being- 
taken  that  the  iron  strips  are  bent  so  as  to  conform  to 
the  surface  of  the  plaster,  and  that  the  shaft  over  the 
head  be  kept  in  the  same  line  with  the  spinous  pro- 
cesses. The  perforated  tins  are  carried  round  the  body, 
their  ends,  however,  not  being  allowed  to  meet.  The 
apparatus  having  been  carefully  adjusted,  fresh  layers  of  plaster  bandage  are  now 
applied,  in  order  to  hold  the  instrument  firmly  in  its  place.  [See  next  page.] 


Part  IV. 

130  GEO.  TIEMANN   «S:   CO.'S   SURGICAL    INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


DiEECTIONS   FOE   MeASUKBMENT. 

Bend  a  flexible  strip  of  lead  to  the  contour  of  the  Laclv,  commencing  at  the 
top  of  the  head ;  carry  along  the  spine  to  the  sacrum.  Carefully  remove 
and  trace  on  paper ;  mark  the  position  of  the  scapulse,  iliac  crests  and 
disease. 

Circumference :   top  of  head  around  chin,        .  .  .  Inches. 

Circumference:   around  cranium,  .  .  .  .  .  " 

Cii'cuniference :  pelvis  below  iliac  crests,         .  .  .  " 


Pig.  195.    Sayre's  Ruttier  Compressor. 

FOE    KNEE    AND    ANKLE    JOINT. 

A  double  sac  of  suitable  form,  for  the  knee  or 
ankle.  By  means  of  tubes  at  either  end  hot  or 
cold  water  may  be  made  to  either  pass  through, 
or  it  may  be  retained.  In  this  manner  even 
pressure  with  the  advantage  of  a  hot  poultice 
can  be  made,  which,  although  being  exceedingly 
powerful,  can  be  easily  borne  on  account  of  its 
soft  elasticity. 


Sayre's  Rubber  Knee  Compressor,  $6.00 

DiEECTIONS    FOR    MEASUREMENT. 

Circumference  above  knee,      .     Indies. 
Circmnference  at  knee,        .  " 

CiK;umference  below  knee,      .  " 


Sayre's  Rubber  Ankle  Compressor,  $6.00 

Directions  for  Measurement. 
Circumference  of  instep,  .         .     Inches. 
Circumference  of  ankle,        .  " 

Circumference  above  ankle,      .  " 


Pig.  196.    Coover's  Splint  for  Practures  of 
the  Arm  and  Hand. 

Price,  $1.50. 

Fig.  a  can  be  used  for  all  fractnres  of  the  arm  and 
hand,  with  the  tingef  s  fixed  upon  the  hand,  and  pass- 
ive motion  can  be  directed  the  first,  second,  or  third 
week,  as  the  attending  surgeon  may  direct,  thereby 
keeping  the  tendons  loose  in  their  sheaths,  and  the 
patient  will  be  enabled  to  secure  the  use  of  his  limb 
sooner  than  by  any  ^.ther  splint. 

Fig.  h  will  serve  the  object  better  where  the  surgeon 
desires  to  keep  the  hand,  and  fingers  extended. 


Part  IV. 


67   CHATHAM    STREET,  NEW-YORK. 


Branch  Store, 


131 


107  East  28tii  St.,  N.  Y. 


Fig.  197.    Tmehart's  Genu  Valgum  Brace. 

Price,  135.00. 

{ISTew   York  ]\f('dicnl  Record,  August,  iSyS.) 

The  accompanying  cut  well  illustrates  a  modification 
of  brace  for  the  treatment  of  knock-knees  and  similar 
deformities  of  the  legs,  which  presents,  I  think,  a 
new  and  valuable  improvement  and  possesses  decided 
advantages  over  the  forms  of  brace  now  generally  in 
use.  The  springs,  s  s  s  s,  the  bearing  of  which  can 
be  delicately  adjusted  by  shifting  the  slides,  dddd^ 
up  or  down,  are  the  characteristic  feature  of  this  ap- 
paratus. The  brace  being  attached,  at  the  site  of  de- 
formity on  either  side,  by  means  of  the  springs,  wliich 
fit  closely  and  firmly  to  the  limbs,  perfect  coincidence 
and  harmony  of  movement  between  leg  and  brace  is 
secured,  which  is  sadly  wanting  where  the  attach- 
ment is  efii'ected  by  means  of  the  long  straps  of  the 
ordinary  brace.  The  corrective  force  exerted  is  con- 
tinuous, and  in  all  positions  the  wearer  may  assume  is  decided  and  equable,  while, 
at  the  same  time,  the  articulations  of  the  limbs  have  such  a  normal  freedom  of  ex- 
cursion, laterally  as  well  as  antero-posteriorly,  that  no  disfiguring  habit  of  gait  is 
liable  to  be  contracted  by  the  patient,  and  there  is  no  tendency  to  trip  or  fall; 
even  the  child  of  only  a  few  years  can  wear  the  brace  with  little  or  no  annoy- 
ance, and,  on  first  trial,  walk  or  even  run  with  surpassing  ease  and  precision. 

Directions  fob  Measurement. 


1.  Patient's  name. 

2.  Patient's  age. 

3.  Length  from  sole  to  ankle-joint,    Ins. 

4.  Length  from  sole  to  knee-joint,        " 
5o  Length  from  sole  to  hip-joint,  " 


6.  Length  from  sole  to  iliac  crest,  Ins. 

7.  Circumference  of  pelvis,  " 

8.  Circumference  of  thigh  at  5,  " 

9.  Circumference  of  leg  at  s,  " 
10.   Circumference  of  ankles  at  Z^,  " 


Fig.  198.   Velpeau's  Writers'  Cramp  Apparatus. 

Price,  10.00. 

There  are  many  devices  for  this  pur- 
pose, of  which  the  above  is  one  of  the 
simplest  and  most  efi:ective.  It  consists  of 
an  oblong  ball,  made  of  wood  or  hard 
rubber,  to  be  grasped  by  the  hand,  keeping 
it  in  a  proper  j)osition.  To  this  are  at- 
tached a  couple  of  half-rings,  serving  as 
A  penholder  passes  through  the  neck  of 


rests  for  the  index  and  middle  fingers. 


Part  IV. 

232  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

tlie  ball  at  a  coiivenient  place  near  the  extremity,  which  can  be  adjusted  and  made 
firm  by  a  thmnb-screw.  Tims  a  person  aftected  with  writers'  cramp  may  be  effec- 
tually treated  without  being  necessitated  to  leave  oif  writing. 


Fig.  199.    Mathieu's  Writers'  Cramp  Apparatus. 


Price,  $6.00. 

This  instrument  consists  of  two  rings  for  the  index 
finger,  and  a  lialf  ring,  properly  distanced  from  the 
others,  to  rest  the  thumb.  These  are  fixed  to  a 
spring  slide,  into  which  a  common  penholder  can  be 
easily  adjusted.  This  is  a  somewhat  simpler  appa- 
ratus than  the  preceding  one  and  answers  well  in 
slight  cases. 


Pig.  200.    Walker's  Com'bination  Supporter. 

FOE    UMBILICAL    AND    ABDOMINAL    HEENIA 

Price,  $12.00. 


Directions  for  Measurement. 

Circumference  at  umbilicus,  .  .  ■.  . 

Diameter  of  protrusion,  .  .  =  . 

Circumference  of  pelvis,     ,  ,  .  .  . 


Inches 


Part  IV. 

67   CHATHAM    STREET,  NEW-YORK.  133 

Branch  Store, 107  East  28tii  St.,  N.  Y. 

Fig.  201.  Stillman's  Ratchets  and  Brackets. 

a,  I,  c,  d,  e, /,  (J. 
A  pamphlet  explaining  their  use,  by  Charles  F.  Stillman,  M.  D.,  may  be  had 
on  application. 


Fig.  202.  Szymanowsky's  Plaster  Bandage  Shears 


Price,  $9.00. 


Fig.  203.   Brnn's  Bandage  Shears. 

Price,  $10.00. 


See  also  Figs.  Ill,  165, 189. 


Part  IV. 

134  GEO.  TIEMANN   &  CO.'S  SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  ^^^^ Edward  Pfarre. 

Fig.  205.  Fig.  206.  Doisneau's  Compress. 

Wood's  Horse-Shoe  Pad  Truss.  ^^r  the  seminal  cords. 

Price,  $4.00. 


Fig.  207=    Matthieu's  Prolapsus    Fig.  207b.    Rubber  Bandage. 
Ani  Supporter, 


Price,  $5.00 


FOR    THE    TREATMENT    OF    ULCERS, 
ECZEMA,  VARICOSE  VEINS,  &C. 


Martin's  Solid  Rubber  Bandage, 


10  feet  long  by  3  inclies  wide, 


Bulkley's  Rubber  Bandage, 


.     $2.00 


$1.25 


12  feet  long  by  3  inches  wide,  .  .  .  . 

"Both  the  above  are  made  of  the  best  sohd  pnre  rubber,  very  elastic — the 
latter  lighter  than  the  first.  On  one  end  a  piece  of  cloth  is  cemented,  an  inch  or 
so  wide,  to  give  firm  attachment  to  the  tapes,  which  are  to  tie  the  free  extremity ; 
these  tapes  should  of  course  be  rolled  inside,  and  the  bandage  j)repared  for  ap- 
plication exactly  as  any  other  roller  bandage.  There  is  the  greatest  difference 
imaginable  between  the  firm,  resisting,  non-elastic  cotton  bandage  and  that  of 
soft,  pliable  rubber,  which  yields  with  every  motion  and  yet  exercises  its  ceaseless 
pressure  and  support  to  an  extent  which  can-  be  regulated  to  the  utmost  nicety 
with  each  days  changing  condition  of  the  parts." 


.Pabt  IV. 
67   CHATHAM    STREET,  NEW-YORK. 
Branch  Store, 


135 


107  East  SStii  St.,  N.  Y. 


Fig.  208.    Apparatus  for  Contracted  Wrist. 


*"  ^""^acs- 


Pig.  209. 
Brace  for  Pott's  Curvature. 


Pig.  210. 
Brace  for  Lateral  Curvature. 


TWO    DELICATE    FORMS    OF    SPINAL    BRACES 
BY    GEO.   TIEMAXN    ifc    Co. 


Directions  for  Measurement  : 

For  Brace,  Fig.  209,  same  as 
given  on  page  3. 

For  Brace,  Fig.  210,  same  as 
given  on  page  4,  Part  IV. 


Pig.  211.    Bacon's  Patella  Support. 

Patients  recovering  from  transverse  fracture  of  the  patella, 
with  "  aponeurotic  union, ".are  constantly  liable  to  repeated 
ruptures  of  this  adventitious  tissue,  each  successive  accident 
widening  the  gap  between  the  fragments  of  the  bone  and  less- 
ening the  power  of  the  leg  extensors.  The  frequency  with 
which  such  patients  fracture  the  opposite  patella,  in  their  at- 
tempts to  save  the  weakened  joint  from  renewed  injmy,  is 
M^ell  knoMm. 

To  give  efficient  support  to  joints  thus  impaired,  the  appli- 
ance here  figured  has  been  devised,  and  has  been  worn  with 
satisfaction  by  several  patients,  one  of  whom,  having  an  ill- 
united  fracture  of  each  patella,  was  able  to  mount  a  flight  of 

stairs  immediately  upon  the  application  of  the  apparatus,  for  the  first  time  since 

the  injury  was  received. 

A  complete  description  mailed  on  application. 


Part  IY. 

136  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre, 


Pig.  212.    Loss  of  Uose. 


Pig.  213.    Artificial  Nose. 


After  mncli  experimenting,  an  artificial  nose,  mtiLLu  ui  thin  silver,  shaped  to 
ccnform  to  the  rules  ofbeauty  and,  at  the  same  time,  to  resemble  the  lost  member 
as  nearly  as  possible,  has  been  found  the  most  satisfactory.  It  is  accurately  fitted 
to  the  skin,  covering  the  remaining  part  of  the  nose  as  well  as  the  opening.  It  is 
held  in  place  by  a  spectacle  frame  superiorly,  while  a  pair  of  springs,  attached  to 
its  base,  enter  the  fossae  and  secure  its  position  below.  It  can  be  worn  with  ease, 
is  very  light  and,  if  nicely  fitted,  will  hardly  show  points  of  attachment,  being 
painted  to  correspond  t6  the  tint  of  the  face. 


&~\£.\-M\^'t\&.<:.0' 


Pig.  214.    Artificial  Eyes. 

We  have  on  hand  a  large  assortment  of  all  colors, 

forms  and  sizes,  for  the  right  and  left  eye,  from  which 

^  personal  selections  may  be  made,    or  we    can    send 

them  by  mail;    but  as  the    success   of   being  well 

matched  depends  on  the  exactness  of  the  description 

and  the  minuteness  of  adaptation  and  accommodation  of  tlie  artificial  eye  to  the 

remains  of  the  natural  one,  we  advise  patients  to  apply  to  their  physician  and 

have  him  send  us  the  following  particulars : 

1.  Eight  or  left  eye  ? 

2.  Diameter  of  the  iris  of  the  well  eye. 

3.  ISTormal  diameter  of  the  pupil. 
Degree  of  atrophy  of  globe  in  comparison  to  well  eye. 
Form  of  anterior  of  stump,  flat,  round,  or  conical. 
Partial  or  entire  presence  or  absence  of  cornea  remaining  transparent. 
Depth  of  furrow  behind  lower  lid. 
Sex  and  age  of  patient. 

9.  A  drawing  (natural  size)  representing  accurately  the  eye  region  of  both 
eyes,  the  color  of  the  iris  and  sclerotica  (or  a  minute  description). 


Part  V 


Part  V. 
2  GEO.  TIEMANN    &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


TOOTH    FOPtCEPS. 

"Wisdom.        Lower  Wisdom.  Stump.  Upper  Bicuspid.  Upper  Molar.    R. 


Upper  Molar.    L. 


Upper  Molars,  Cowhorn. 
R.  L.  Either  aide. 


Upper  Molars. 
R.  or  L. 


Part  V. 
67   CHATHAM    STREET,  NEW  YORK. 
Branch  Store,  107  East  28tii  St.,  N.  Y. 


TOOTH    rOKCEPS. 

Bayonet  Upper  Molars.  Harris'  Upp(;r  Molars. 

L.  R.  L.  R. 


Harris'  Lower  Molars. 
R.  L. 


Harris'  Lower  Molar. 
Either  side. 


Cowhorn  Lower  Molars. 
R.  L. 


Part  V. 
4  GEO.  TIE.MAXX   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmaw.  Edward  Pfarre. 


Cowhoni  Molar. 
Either  side. 


TOOTH     ITOX^CEPS. 

Harris'  Jjowcr  MoIai-8.  Wolverton's  Lower  Molar. 

R.  L.  Eitlier  side.  Either  side. 


Wolverton's  Wolverton's 

Upper  Bicuspids.       Lower  Bicuspids. 


"Wolverton's  Lower  Roots. 
R.  L. 


Universal  Root. 


29 


Part  V. 
67   CHATHAM    STREET,  NEW  YORK.  5 

Branch  Store,  107  East  28th  St.,  N.  Y. 


TOOTH    ITOXi^CJEPH. 

Half  Curved  Full  Curved 

Straight  Root.  Lower  Koot.  Straight  Koot.  Root.  Root. 


30 


Narrow  Bealc      Straight  Narrow     Half  Curved  Narrow    Full  Curved  Narrow     Bayonet  Narrow 
Root.  Beak  Root.  Beak  Root.  Beak  Root.  Beak  Root. 


\H 


36 


i 


87 


Part  V. 

GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stoui.mann".  Edward  Pfarre. 

TOOTH    FOR-CEPS. 


Narrow  Beak  Roots. 
R.  L. 


Parmly's 

Universal.  Universal  Root.  Straiglit. 


Parmly's. 
Half  Curved.        Full  Curved, 


42 


Parmly's  Bayonet. 


43 


44 


Parmly's. 
L.  R. 


Part  V. 
67   CHATHAM    STREET,  NEW  YORK.  >f 

Branch  Storf,,  107  East  28th  St.,  N.  Y. 

Excising.  TOOTH     FORCEPS.  Single  Jointed. 

Straight.  Curved.  Splitting.  Elevating. 


Part  V. 

GEO.  TIEMAXN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohi.manx.  Edward  Pfarre. 


TOOTH    ITOItCEPS. 

Goodwillie's  Goodwillie's  Goodwillie's 

Plain  Curved.  Bicuspid.  Plain  Straight.  Half  Curved.  Straight. 

II 


^ 


64.     Spring  Bolt  (double). 


05.     Spring  Bolt. 


66.    Rcmovnhle  Fulcrum. 


Part  V. 
67   CHATHAM    STREET,  NEW  YORK.  Q 

Branch  Store,  107  East  28th  St.,  N.  Y. 

TTJRIV     ItETTS. 

07.     Ilotaliiig  Fulcrum. 


HOOT     EXTISACTOISS. 

68.    Stag-foot  Elevator. 


69.     Screw  70.    Root  71.    Eoot 

Elevator.  Extractor.  Extractor. 


_  72.  73.     Curved       74.    Angular 

Gum  Lancet.     Root  Extractor.   Root  Extractor. 


75.     Gum  Lancet. 


Part  V. 
10  GEO.  TIEMANN   &   CO.'S   SURGICAL   INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

UP    r>o  GUftAFF'S     ST^iJPH:'yLOPiIlELAX»H:Y    CASE. 


Fig.  76.    Curved  Bistoury. 


G. TIEMANN    &  CO. 


Fig.  77.     Curved  Needle. 


/^ 


Fig.  78.     Blunt  Hook. 


Fig.  79.    Bent  Needle. 


<z 


The  above  Instruments,  put  up  in  a  neat  Case,  $9.00. 


The  edges  of  the  cleft  are  freshened  with  the  Bistoury,  fig.  76.  The  Curved 
Needle,  fig.  77,  is  threaded  with  waxed  Chinese  silk,  and  thrust  through  one  edge 
of  cleft,  then  slightly  withdrawn  so  far  as  to  form  a  loop  underneath.  The  Blunt 
Hook,  fig.  78,  is  passed  through  this  loop,  by  means  of  which  the  thread  is  with- 
drawn outside  the  mouth,  and  the  needle  is  also  withdrawn.  The  Bent  Needle, 
fig.  79,  is  then  threaded  with  the  same  thread  and  pushed  from  the  rear  (of  the 
opposite  side  of  cleft)  to  the  front  ;  a  loop  is  formed  in  same  manner  as  with 
Curved  Needle,  and  thread  withdrawn  with  the  Blunt  Hook.  The  process  is  re- 
peated until  as  many  sutures  are  introduced  as  seem  necessary,  all  of  which  are  tied. 

The  operation  can  be  performed  in  half  the  time  and  much  easier  than  by  the 
plan  of  holding  needles  in  needle  holders. 

Staphylorrhaphy  and  Uraniscoplastic  Instruments,  pages  66,  67,  Part  II. 


I>EIi]yi:ATOL.OOICAL. 


Fig.  80.     Njbvus  Needle. 


Blowpipe,  to  heat  Needle,  page  100,  Part  III. 


Paut  v. 
r,7  CHATHAM  STREET,  NEW-YORK.  11 

Branch  Store,  107  East  28Ti£  St.,  N.  Y. 


r>Ertivry\.TOLOOiCAL< 

Fig.  81.     Piffard's  Ooinorlonc  Exl-niclor. 


Pig.  82.     Piffard's  Iiido-Platinnm  Needle. 


Fig.  89.    Piffard'.s  Sharp 
Spoon. 


Fig.  83.     Piffard'.s  Milium  Needle. 


-=»ffl 


li.-^Vt^Ak^^U  EttQ. 


Fig.  84.    Piffard's  Scarifying  Spud. 


Fig.  85.    Piffard's  Epilating  Forceps. 


Fig.  86.    Piffard's  Grappling  Forceps. 


Fig.  87.     Skin  Grafting  Scissors. 


Fig. 


Piffard's  Cutisector. 


Fig.  90.    Hess'  Glass  Pleximeter. 

For  observing  the  skin  under 

pressure. 


IIGMAN'J-CC- 


Henry's  Depilating  rf)rccps,  page  46,  Part  HI. 


Piffard's  Cutisector, 
Platina  Caustic  Cup, 
Fine  Scissors, 
Scalpels,  , 


.     fig.  296,  Part  II. 
tig.  309.  Part  III. 
figs.  110,  111,  Part  II. 
pages  6,  46,  Part  I. 


Microscopic  Instruments, 
Counter  Irritants, 
Vaccinating  Instruments, 
Hypodermic  Syringes, 


.    page  90,  Part  I. 

page  63,  Part  I. 
.    page  66,  Part  I. 

page  79,  Part  I. 


Part  V. 

12  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

IV^^JL    ^^]VI>    COK]V    IlVSTIiXJiytElVTS. 

Fig.  91.     Spring  for  Inverted  Nails. 


■'"'c/uann&co 

Fig.  92.    Nail  Nippers. 


Fig.  94.     Corn  Knife  and  File. 


iD 


Fig.  95.     Van  Buren's  Sequestrum  Forcep: 


Fig.  9G.     Nail  Cleaner  and  File. 


llil|:tlll||:l|.'ilW 


G.TIEMANN  &C0. 


Fig.  97.     Pocket  Case  Scalpel,  for  Corns. 


Fig.  100.     Corn  Knife  (spring  handle). 


Part  V. 

G7  CHATHAM  S'JREET,  NEW-YORK.  13 

Branch  Stoke,  107  East  ^Htii  St.,  N.  Y. 


Fig.  101.     Emmctt's  Counter  pressure  Hook., 


Fig.  102.    Emmett's 
Euucleulor. 


Fig.  104.     Emmelt's  Ut)ul)lc  Tuiiiiculum. 


j^^^l j^^^^^&CO  I ' 


Fig.  105.     Emmett's  Curette  Forceps. 


Part  V. 

14  GEO.  TIEMANiV  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  110.    Enimett's  Sponge  Dilator. 


Fro.  116.    Minor's  Trachea  Retractors. 


A  substitute  for  the  Tracheotomy  Tube,  de- 
.'iigiied  to  hold  open  a  wound  in  the  trachea,  so 
that  the  air  can  pa.-s  in  and  out  of  the  windpipe 
through  the  same.  A  i.s  a  hollow  rod,  slightly 
curved,  ha\  ing  a  screw  at  each  extremity,  B  B, 
to  set  the  refractors,  D,  D,  which  are  then  se- 
cured in  the  desired  position  by  tapes  adjusted 
at  C,  C. 

Fig.  117.    Brown's  Pessary. 


Supplement. 


Additions  to  the  Armamentarium  Chirurgicum, 

NAMES    OF    INVENTORS, 

AND 

CHEONOLOGICAL  RECORD   OF   PUBLICATION. 


THE    METRIC  SYSTEM. 


Certain  French  scientists  of  tlie  last  century,  in  order  to  establish  a  universal  cosmopolitan 
measure,  proposed  to  base  our  conceptions  of  si7,e,  weight  and  money  on  the  well-known  and 
beautiful  Decimal  System  of  mimbers — this  being  understood  by  all  men  alike,  however  dif- 
ferent in  nationality  or  language. 

The  terms  applied  to  the  length-unit,  "Metre,"  and  to  the  weight-unit,  "  Gramme,"  were 
taken  from  the  Greek  language.  The  names  expressive  of  fractions  of  the  above,  are  formed  by 
combination  with  the  following  Latin  words: 

Latin. 

Decern,  ten.  Decimetre,  equal  to  0.1  Metre. 

Centum,  hundred,  Centimetre,  "       O.Ul      " 

Mille,  thousand,     Millimetre,  "       0.001    " 

The  terms  applied  to  the  upper  divisions,  expressing  certain  pluralities  of  the  same,  are 
formed  of  sj'nouymous  '\\ords  talcen  from  the  Greek. 

Greek. 
SeX^i  ''^"'  Decametre,  equal  to     10  Metres. 

eXO'TOV,  hundred,         Hectometre,         "        100        " 
Xt^toi,  thousand,  Kilometre,  "     1,000        " 

fivpwt,  ten  thousand,  Myriametre,  "  10,000        " 


Gramme,  the  weight  measure,  is  divided  into- 
Deci-        Centi-       Milli-gramme. 
Deca-       Hecto-      Kilo-gramme. 

Arranged  into  a  Table  it  reads  thus: 


Litre,  the  capacity  measure,  is  divided  into- 
Deci-  Centi-  Milli-litre. 

Deca-  Hecto-         Kilo-litre. 


LENGTH. 

10  Millimetres  make  1  Centimetre. 


10  Centimetres 
10  Decimetres 

10  Metres 
10  Decametres 
10  Hectometres 
10  Kilometres 


1  Decimetre. 

1  Metre,  equal  to  39.368 

American  inches. 
1  Decametre. 
1  Hectometre. 
1  Kilometre. 
1  Myriametre. 


WEIGHT. 

10  Milligrammes  make  1  Centigramme. 


10  Centigrammes 
10  Decigrammes 

10  Grammes 
10  Decagrammes 
10  Hectogrammes 
10  Kilo<>rammes 


1  Decigramme. 

1  Gramme,     equal    to 

15.433  grains  Troy. 
1  Decagramme. 
1  Hectogranime. 
1  Kilogramme. 
1  Myriagramme. 


CAPACITY. 

10  Millilitres  make  1  Centilitre. 


10  Centilitres 
10  Decilitres 

10  Litres 
10  Decalitres 


1  Decilitre. 

1  Litre,  equal  to  2.118 

pints  American. 
1  Decalitre. 
1  Hectolitre. 


W"EIGHT    or    "WATER 
AT   MAXIMUM   DENSITY. 

Millier  (or  Tonneau) 1,000,000  Grammes,  equal  to  1  Cubic  Metre. 

Quintal 100,000 


Myriagrannnc 

Kilogramme  (or  Kilo) 

Hectogramme 

Decagranmie 

Gramme 

Decigramme 

Centigramme 

Milligramme 


10,000 

1,000 
100 

•      10 
1 

0.1 
0.01 
0.001 


1  Hectolitre. 
rj  Litres. 

1  Litre. 

1  Decilitre. 
10  Cubic  Centimetres. 

1       " 

0.1-  " 
10      "      Millimetres. 

1      " 


Square  and  Cubic  Measures  are  deduced  hy  arithmetic  rides :  A  Square  Decametre  is  called 
Are"  ;  a  Cubic  Metre  is  called  "Stere." 


SuPPLEMIiNT,   1876. 


Geo.  Tiemann  &  Co.'s  Surgical  Instruments. 

JVo.  07   Chatham  Street. 

Branch  Store,   No.   107  East  28th  Street, 
NEW  YORK. 


-c>->-«»  <  < 


Fig.  1. -OBSTETRICAL  FOEOEPS. 

By  W.  II.  Newman,  M.D.,  Denver,  Colorado,  April  7,  1875. 
Price,  $7.00. 


Fig.  2.-UEETHE0T0ME. 

By  E.  a.  Banks,  M.D.,  New  York,  April,  1875. 
Price,  $20.00. 


Fig.  3.-THE  NEW  OBSTETEIO  FOEOEPS. 

By  Edward  Warren  Sawyer,  M.D. 
Lecturer  on  Obstetrics  and  the  Diseases  of  Children,  Hush  Medical  College,  Chicago,  February  1st,  187C. 

Price,   $7.00. 


F.   A.    STOnLSIANN. 


Supplement,  1876. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 

Edward  Pfarbe. 


Fig.  4.-A  DILATING  UEETHEOTOME.         - 

By  James  Andrew  ]\Iilne,  M.D.,  Oswego,  N.  Y. 

Medkal  liecord,  February  19,  187G. 

Price,   $17.00. 


Fig.  5.-A  NEW  SPRAY  CAUTEEY. 

By  Jarvis  S.  Wight,  M.D. 

Medical  Society  of  the  County  of  Kings.    Stated  Meeting,  April  18,  1876. 

Price,   $11.00. 


Fig.  6.-F0E0EPS  FOE  THE  EXTEAOTION  OF  AEEOW  HEADS. 


By  J.  H.  Bill,  M.D.,  U.  S.  A. 

Medical  liecord,  April  8,  1876. 
Price,  $2.50. 


Fig.  7.-DE.  H.  T.  HANKS'  TENACULUM  FOEOEPS. 

American  Journal  of  Obstetrics,  August  1876.        Transactions  of  the  New  York  Obstetrical  Society. 

Price,  $3.00. 


Fig.  8.-UTEEINE  LEECH  AND  ASPIEATOE. 

By  William  W.  Reese,  M.D.,  Brookljm,  N.  Y. 

Medical  liecord,  Sex)tember  9,  1876. 

Price,  $4.50. 


Supplement,  1876. 
67  CHATHAM  STRP]ET,  NEW  YORK. 


BuANcii  Store, 


107  East  28tii  St.,  N.  Y. 


KNIFE  AND  SAWS  FOR  SUBCUTANEOUS 
SECTION  OF  BONE. 

By  Du,  Adams,  of  London,  England.    September  19,  1876. 

Fig.  9 -ADAMS'  SUBCUTANEOUS  SECTION  KNIFE. 

Price,  $1.50. 


Fig.  lO.-ADAMS'  LAKGE  SAW. 

Price,  $4.00. 


Fig.  11 -ADAMS'  SMALL  SAW. 


Price,  $3.50. 


6.TIEMANN  &  C3 


Fig.  12.-ADAMS'  EHINOPLASTOS. 

For  straightening  the  bones  of  the  Septum  Narium  deformed  by  accident- 
Price,   $3.00. 


Supplement,  187G. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stoulmann.  Edwaku  Pparre. 


Fig.  13 -NASAL  DOUOHE. 


Fig.  14.-AUT0-INSUFFLAT0E. 


By  IIouATK)  BiuDGE,  M.D.,  New  York,  October,  1876. 
Fig.  13,— Price,  60  cents.  Fig.  14.— Price,  75  cents. 


1-^ 
1=3 
O 
H 
Ph 

O 
I — I 
E-l 

t— I 

pq 

o 
o 


r— I 

Ph 


o 
o 
oi 


Supplement,  iSl'f].  ^ 

67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  28tu  St.,  N.  Y. 

« 

Fig.   16.-TW0  NEW  PESSARIES,   1,   2. 

By  A.  T.  Woodward,  M.  D.,  Bnuidon,  Vt. 
Neiv  York  Medical  Journal,  October,  187C. 
1.— Price,  $1.25.  2.— Price,   $1.25. 


Fig.  17.-NEW  EORASEUE. 

By  J.  H.  Thompson,  M.D.,  Washington,  D.  C. 
Price,  $25.00. 


Fig.  18.-NEW  BEISTLE  PROBAlfa. 

By  T.  A.  Stanford,  M.  D.,  Columbus,  Ga. 
Price,  $2.50. 


Fig.  19.-AUT0MATI0  SUTUEE. 

By  A.  H.  Hope,  M.D.,  U.  S.  A. 
Price,  $5.50. 


x>  x> 


Fig.  20.-A  NEW  NEEDLE  HOLDEE. 

By  Dr.  Anatol  de  Gaine,  St.  Petersburg,  Russia,  January  17,  1877. 
Price,  $4.00. 


SlTPPLEMKNT,   1877. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfaure. 

Fig.  21 -A  NEW  TRACHEOTOME. 

By  II.  T.  Hanks,  M.D.,  New  York. 

American  Journal  of  Obstetrics,  January,  1877. 

Price,  $9.00. 


■ig.  22 -A  NEW  ATOMIZEE  FOR  USE  IN  ANTISEPTIC  SURGERY. 

By  H.  T.  Hanks,  M.  D.,  New  York. 

Medical  Record,  January  13,  1877. 

Price,  $15.00. 


Fig.  23.-INSUFFLAT0R  FOR  TREATMENT  OF  CATARRHAL 
INFLAMMATION  OF  THE  MIDDLE  EAR. 

By  Samuel  Sexton,  M.  D.,  New  York. 

Medical  Record,  January  13,  1877. 

Price,  $2.00. 


•  Supplement,  1877. 

G7  CHATHAM  STREET,  NEW  YORK. 
Branch  Store, 107  East  28tii  St.,  N.  Y. 

Fig.  24.-A  NEW  SAW.    (Patent.) 

By  F.  A.  Stoiilmann,  (Tiemann  &  Co.,)  New  York. 

Ifew  Remedies,  February,  1877. 

Price,  $6.00. 


Fig.  25.-ADJUSTABLE  VEOTIS. 

By  Thomas  Rterson,  Newton,  N.  J.    February  17,  1877. 
Price,  $5.00. 


C)."\\t.WKHU8<C0. 


Fig.  26.-A  NEW  RECTAL  DILATOE  AND  EXPLORER. 

By  Philip  S.  Wales,  M.  D.,  Medical  Inspector  U.  S.  Navy. 

Neio  York  Medical  Record,  February  24,  1877. 

Price,  $1.50  to  $3.50  each.     Syringe  and  Stopcock  extra. 

Since  the  publication  of  this  paper  in  the  iV^  I"  Medical  Record,  these  instru- 
ments have  been  used  with  the  most  gratifying  success  in  other  cases.  Messrs. 
G.  Tiemann  &  Co.  have  seconded  my  efforts  in  perfecting  these  dilators,  and  as 
they  now  manufacture  them,  little  room  is  left  for  further  improvement.  In- 
deed, their  field  of  utility  will  be  greatly  widened,  as  the  safety  and  painlessness 
of  introduction  will  enable  many  of  the  inflammatory  diseases  of  the  pelvic  and 
abdominal  organs  to  be  treated  locally  with  hot  water,  medicated  solutions,  or 
ointments  of  any  composition  that  may  be  desired. 


Supplement,  1877.  , 

GEO.  TIEMANK  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  STOiii-MAfTN.  Edward  Pfarre. 


WALES'  EECTAL  DILATOE  AND  EXPLOREE. 

2  5  'h  J 


Fig.  ] . — Dilator  unexpanded.  Fig.  2. — Dilator  expanded. 

Fig.  3. — Explorer  unexpanded.  Fig.  4. — Explorer  expanded. 

Ms.  5. — Irrigator. 


Supplement,  1877. 

67  CHATHAM  STREET,  NEW  YORK.  0 

Branch  Store, 107  East  28Tir  St.,  N.  Y. 

Fig.  27.-SERRATED  SCOOP  FOE  THE  DETACHMENT  OF  SESSILE 

UTERINE  FIBEOIDS. 

By  T.  Gaillard  Thomas,  M.  D.,  Now  York. 

New  York  Medical  Journal,  March,  1877. 
Price,    $3.50. 


Fig.  28.-GE0RGE  TIEMANK  &  CO.'S  NEW  PATENT  BENT  SELF- 
EEGISTERINa  CLINICAL  THEEMOMETEE. 


New  Reinedies,  March,  1877. 

Price,  in  Case,  $3.50. 


e.  TIEMANN  a  CO''S.  PATENT  JUh/E:  /P.IS77 


^mpTl-[inl-fH|iM|n,|Ul|n.|i|iri.|„.[M,1,.,|n1"'l'"l"i'      I"    I      i 


jfe-U,'^.  -j^:J._l_^'tU//>"-^---^^^5^' 


Fig.  29.-A  NEW  WIEE  TWISTEE. 

By  Simon  Fitch,  M.  D.    Edin,  St.  John,  New  Brunswick,  Canada.    April  11,  1877. 

Price,  $4.00. 


Fig.  30.-A  NEW  PEOSTATIC  aUIDE. 

By  F.  N.  Otis,  M.  D.,  New  York. 

Medical  Record,  April  21,  1877. 

Price,  $1.25. 


^-.k^^^^wuw\-A»VA-W\AJvi\svJv--\-Vv;V^W\A=.\--'vsiT:AdF 


G.TIEMANN&CC 


Fig.  31.-UNIS0N  EESONANCE  IN  AUSCULTATION.    A  NEW 

EESONATOE. 

By  Edgar  Holden,  M.  D.,  Newark,  N.  J. 

Medical  Record,  April  28,  1877. 

Improved.  Price,  $2.50. 


Supplement,  1877. 

10  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 

-  ■» 

Fig.  32.-THE  EEEOES   OF  EEFEACTION  DEMONSTEATED  BY  A 
NEW  AND  OEIGINAL  MODEL. 

By  F.  A.  MuNSON,  M.  D. 

New  York  Medical  Jorirnal,  May,  1877. 
Price,  $9.00. 


Fig.  33.-A  NEW  STAPHYLOEEHAPHY  INSTEUMENT. 

By  D.  Prince,  M.  D.,  Jacksouville,  111. 
Price,  $10.00. 


Fig.  34.-A  NEW  DOUBLE-BLADED  LITHOTOME. 

By  Jo.  C.  Hutchison,  M.  D. 

Froceedings  Med.  Soc.  of  the  County  of  Kings,  J'uly,  1877. 

Price,  $8.00. 

A 


Supplement,  1877. 
67  CHATHAM  STREET,  NEW  YORK. 


11 


Branch  Store, 


107  East  28Tir  St.,  N.  Y. 


Fig.  35.-A  NEW  HEENIATOME, 

By  Oscar  II.  Alt.ts,  M.  D. 

Philadelphia  Medital  Times,  July,  1877. 
Price,  $7.00. 


Fig.  36.-SUSSD0EFF'S  TUPELO  DILATOES, 

A  New  Material  for  Dilatation  of  the  Cervix  Uteri,  and  for  other  purposes. 
Medical  Record,  July  14,  1877. 


Hollow,  price  per  doz.,  $3.00. 


_^^^^^$S$$$$$^j$SS^^^^$^V^$j^$$:;j$j$$^^^ 


Fig.  37.-A  DILATING  UEETHROTOME. 

By  R.  A.  KiNLOCH,  M.  D. 

American  Journal  of  the  Medical  Sciences,  July,  1877. 

Price,  $25.00. 


A.  Instrument  entire,  with  small  bull)  attachment.  J?.  Section,  showing  the  blade  projected  and  ready  for 
use.  G.  Tunnelled  end  attacliment,  with  whalebone  guide.  D.  Probed  end  or  short  elastic  guide.  E.  Bulbous 
attachments,  of  different  sizes.  F.  Blade,  detaclied  to  show  fomiation,  shoulder,  &c.  G.  Long  elastic  guide, 
bougie  attachment. 

Fig.  38.-TIEMANN  &  OO.'S  SOFT  RUBEEE  OATHETEE  (Velvet  Eye). 

Article  by  Joseph  W.  Thompson,  M.D.,  Paducah,  Ky. 


Patented  June  12, 1877. 

Sir  Henry  Thomp.son 
says :  "  If,  after  twenty- 
four  hours  of  agony,  re- 
lief follows  your  dex- 
trous use  of  the  cathe- 
ter, and  the  two  or  three 
pints  which  the  patient 
was  unable  to  void  are 
withdrawn  by  your 
hand,  he  tells  you  that 
he  is  in  heaven — a  com- 


Aimerican  Practitioner,  August,  1877. 
Price,  75  cents. 


JAQUES'. 


mon  expression  with 
such  patients^:  and  he 
will  never  doubt  for  a 
moment  that  you  were 
the  author  of  his  trans- 
lations." I  have  repeat- 
edly been  more  wannly 
and  gratefully  thanked 
by  the  patient  and  fa- 
mily for  relie^"ing.  by 
the  use  of  soft  catheters, 
the  retentions  of  urine,  than  for  any  other  professional  service. 

These  catheters  are  especially  suited  to  the  wauts  of  country  practitioners,  where  in  sparsely  settled  sections 
they  are  frec^uently  iinable  to  see  the  patient  suffering  with  retention  ft-oni  prostatic  obstruction,  and  atony  from 
over-distention  or  paralysis  of  bladder,  more  than  once  in  twenty-four  hours,  when  in  that  length  of  tiine  the 
operation  should  have  ijeen  repeated  three  or  four  times.  Ton  can  easily  instruct  these  patients  to  relieve  them- 
selves  with  one  of  them.    Thus  the  great  advantage  to  that  class  of  practitioners  is  evident. 


SupplrmeKt,  ISt'?. 

12  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarhe. 


Fig.  39 -A  NEW  ATOMIZER  AND  EYE  DOUCHE. 


Bj^  F.  A.  Burrall,  M.  D. 

Medical  liccord,  August  25,  1877 

Price,   $1.75. 


Pig.  40.-A  MODIFICATION  OF  THE  SIMS'  SPECULUM. 

By  Blencowe  E.  Fryer,  M.D.,  Surgeon  U.  S.  A. 

Medical  Beeord,  September  22,  187' 
Price,  $2.00. 


Fig.  41.-A  NEW  DILATOR. 

By  J.  A.  Steurer,  M.  D.,  New  York. 

Medical  Record,  September  22,  1877. 
Price,  $8.00. 


THE  COLD  SOUND.    ( Psychrophor. ) 

A  New  Instrument  for  Treating  Pollutions,  Spermatorrhoea,  and  Cliroiiic  Gonorrliopa. 
By  Dr.  Winternitz,  Vienna. 

Medical  Record,  September  22,  1877. 


Price,  in  Silver,  $4.00. 


Price  in  Soft  Hubber,  $2.50. 


A  double  current  Catheter  without  eyes,  the  two  canals  communicating  near  the  point  of 
the  instrument.  It  is  introduced  into  the  urethra  until  its  point  has  passed  the  pars  prostatiea 
and  it  is  then  attached  by  rubber  tubing  to  a  reservoir  containing  water  of  the  desired  teni 
perature.  On  turning  tlie  stopcock,  the  water  flows  into  one  canal  and  out  through  the  other. 
In  this  way  the  caput  callinaginis  and  the  entire  nuicous  membrane  are  exposed  to  the  mecha- 
nical action  of  pressure  and  the  .sedative  action  of  told. 


Supplement,  1877. 
67  CHATHAM  STREET,  NEW  YORK. 


13 


Branch  Store, 


107  East  2Hti!  St,  N.  Y. 


rig.  42.-A  NEW  DEVISE  TOR  SPREADmG-  PLASTER  OF  PARIS 
AND  OTHER  SUBSTANCES  UPON  BANDAGES. 

Ey  Dr.  Greene. 

MedUal  ICecord,  October  i:5,  1877. 
Price,    $5.00. 
The  apparatus  is  constructed  to  simply  roll  handar^es, 


or,  if  desired,  to  apply  silicate  of  soda,  dextrine  or  plas- 
ter simultaneously  with  the  winding  process.  It  is  en- 
closed in  a  black  walnut  box,  in  which  the  materials  are 
confined,  therefore  creating  no  dust. 

Fig.  43.-APPARIT0R  AURIS.    A  POWERFUL  AID  TO  THE  DEAF 

IN  HEARINa. 

New  liem.cdien,  October,  1877. 

Price,  $6.00  a  pair,  in  Case. 

They  are  sold  in  pairs,  one  for  each  ear,  and  are  so 
shaped  that  they  can  be  worn  entirely  within  the  con- 
cha, being  almost  unobservable  on  account  of  their  close 
fit  and  flesh  color. 

The  advantage  of  this  instrument  over  the  well-known 
cornet  consists  in  having  the  canal  elongated  and  over- 
bridged,  so  that  sound  entering  the  apperture  (^1)  cannot 
dift'use,  but  is  conducted  within  the  tunnel  through  the 
meatus  auditorius  (i?)  to  the  tympanum. 

Fig.  44.-A  NEW  OBSTETRIC  FORCEPS. 

By  M.  Tarnier,  M.  D.,  France. 
Price,  $24.00. 


Fig.  45.-M0DIFICATI0N  OF  A  CERVIX  UTERI  DILATOR^ 

By  John  Ball,  M.  D.,  Brooklyn,  N.  Y. 
Price,  $10.00. 


SurPLEMENT,   1877. 

14  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

•F.  A.  Stohlmann.  Edwakd  Pfahke. 


Fig.  46 -A  NEW  TENAOULUM-NEEDLE,  WIEE-TWISTER  AND 
NEW  MATERIAL  TOR  SUTUEES  (Hard  Ash). 

By  C.  J.  Cleborne,  M.  D.,  Surgeon  U.  S.  Navy, 
Medical  liecord,  October  13,  1877. 

Price,  $7.00. 


Fig.  47.-A  HANDY  ASPIEATOE. 

By  Simon  Fitch,  M.  D.    Edin,  St.  John,  New  Brunswick,  Canada. 

New  York  Medical  Journal,  JVovember,  1877. 

Price,  $5.00. 


A  represents  the  dome  aspirator-needle,  with  the  cutting  point  projected,  ready  for  puncture  ;  G,  a  magnified  diagram 
of  the  same,  after  insertion,  with  the  dome  advanced  so  as  to  protect  the  interior  of  the  cavity  during  aspiration  ; 
£■,  bulb  in  upright  position,  to  insure  the  best  action  of  valves  ;  C  C,  valves  ;  D,  entrance-tube  ;  £,  exit  tube  ;  J^  -F, 
bits  of  glass  tubing,  through  which  to  observe  the  presence  or  absence  of  fluid. 


Fig.  48.-ELASTI0  SPEINQ  HEAD-EEST  FOE  TOETIOOLLIS. 


By  J.  R.  Wood,  M.  D.,  New  York. 

Medical  liecord,  November  10,  1877. 
Price,  $5.00. 


Supplement,  1877. 
67  CHATHAM  STREET,  NEW  YORK. 


15 


Branch  Stoke, 


107  East  28tii  St.,  N.  Y. 


Fig.  49 -A  STEAM  SPEAY  APPARATUS  FOR  THE  ANTISEPTIC 
TREATMENT  OF  WOUNDS. 

By  Robert  F.  Weir,  M.  D.,  New  York. 

New  York  Medical  Journal,  December,  1877. 
Price,  $15.00. 


Fig.  50.-TIEMANN  &  OO.'S  HYPODERMIC  SYRINGE  BOTTLE. 

Neiv  Remedies,  December,  1877. 

Price,  (see  our  List  of  Hypodermic  Syringes.) 


Patented  October  9,  1877. 


Supplement,  1877. 

16  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stoiilmann.  '  Edward  Pfaure. 


Fig.  51 -PEOBES  FOR  THE  TREATMENT  OP  STRICTURES  OF 

THE  NASAL  DUCT. 

By  Samuel  Theobald,  M.  D. 

Transactions  of  the  Medical  and  Chirurgical  Faculty  of  Maryland,  Baltimore,  1877. 


No.  1. —  I4  "'•  ■"'• 
2. —  1^  m.  m. 
'i. —  %  in.  m. 
4. — 1  m.  m. 
5. — 114  in.  m. 


No.  6. — 11^  m.  m. 

7. — V^^  1)1. 111. 

8. — 2      wi.  m. 

9. — 2}£  m.  m. 
10. — 23^  in.  m. 
11. — 2^  in.  m. 


No.  12.— 3  m.  in. 
VS. — '6\£  m.  m. 
14. — 33^  ?/i.  m. 
15. — 33^  m.  m. 
16. — 4      m.  in. 


Fig.  52.-A  NEW  MOUTH  QAG. 

By  Robert  F.  Weir,  M.  D.,  New  York. 

Medical  Record,  January  5,  1878. 


Fig.  53.-A  NEW  INHALER  FOR  ANJESTHETIOS,  &c. 

By  A.  Speirs  George,  M.  D.,  Riclimond,  Va. 

Virginia  Medical  Monthly,  January,  1878. 


Fig.  54.-AN  IMPROVED  CATCH  FOR  SANDS'  NEEDLE-HOLDER. 

By  David  E.  Dudley,  M.  D.,  Maj^lla,  P.  I. 


Supplement,  1877. 
67  CHATHAM  STREET,  NEW  YORK. 


17 


Branch  Store, 


107  East  28Tn  St.,  N.  Y. 


pq 


W 


Fig.  55 -AN  IMPEOVED  ENUCLEATOR. 

By  H.  C.  Yarrow,  M.  D.,  Washington,  D.  C. 

Mddical  and  Surgical  licportcr,  Philadelphia,  March  16, 1878. 

Price,  $4.00. 


Fig.  59.--A  NEW  UEETHRAL  ENDOSCOPE. 

By  Alexander  J.  C.  Skene,  M.  D.,  Brooklyn,  N.  Y.    March,  1878. 


Supplement,  1878. 

18  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwaud  Pfarre. 


Pig.  61.--EEFLUX  OATHETEE. 

By  Alexajmdku  J.  C.  Skene,  Brookljii,  N.  Y 


Fig.  62.-SXENE'S  DOUBLE  PEEFOEATED  CATHETEE. 


„-     '-5      S 


K      ^ 


Fig.  63 -SKENE'S  SELF-EETAINING 
CATHETEE. 

(Modification  of  Goodman's.) 


Fig.  64.-A  NEW  AETEEY  FOEOEPS. 

By  n.  J.  BiGELOw,  M.  D.,  Boston,  Mass. 


Fig.  65.-SKENE'S  OYSTOCELE 
PESSAEY. 


Fig.  67.-B0ZEMAN'S 
VAGINAL  SUPPOET. 


^ 

o 

fi 

y 

h 

s^ 

1^ 

ji 

^ 

-=■ 

^ 

w 

?= 

^ 

o 

Q 

f^ 

H 

M 

W 

W 

O 

K 

Supplement,  1878. 
G7  CHATHAM  STREET,  NEW  YORK. 


19 


BiiANCU  Stoke, 


107  Eaht  a«Tii  St.,  N.  Y. 


Fig.  69.-A  NEY/  RETROFLEXION  PESSAEY. 

Ijy  AiiFUED  L.  (iAUKOLii,  M.  I).,  New  IJrigliUjii,  N.  Y. 
Medical  h'ccord,  March  :i(),  187H. 

11  is  constructed  ol"  a  steel  si)ring  covered  witli  indi.i  rubber,  iunl 
its  "liour-gliiss"  sliape,  us  sliown  iu  the  iiccoini);uiyiii;^'  vvijod-eut, 
serves  a  double  purpose. 

In  tlie  lirst  place,  the  central  constriction  furnishes  the  same  .sort 
of  elastic  extension  as  is  given  by  the  spring  in  Scatlergood's  |)essary ; 
and,  in  the  second  place,  the  contraction  of  tlie  vagina  around  tliis 
central  constriction  tends  to  increase  the  supporting  power  (;f  the 
instrument,  while  eonchu'ing  to  the  comfoit  of  the  wearcj'.  'J'lie 
material  is  sufficiently  i)liiil)le  to  be  bent  into  the  re({uircd  curve  for 
any  given  instance,  and  its  elasticity  in  all  directions  ciialjJes  it  to 
yield,  to  a  certain  extent,  to  the  patient's  movements,  without  alto- 
gether relaxing  its  support. 


Fig.  70-NEW  ATOMIZER  FOR  SPRAYINa  THE  THROAT. 


By  H.  T.  Hanks,  M.  D.,  New  York. 

Medical  Record,  March  30,  1878. 


The  set  consists  of  three  straight  tubes  of  strong  glass,  seven  inches  in  length,  tapering  at 
the  distal  end  to  a  point  with  only  a  small  perforation.  On  the  right  side  of  this  extremity  a 
second  little  funnel-like  tube  is  strongly  cemented.  This  is  for  holding  the  few  drops  of  the 
medicament  to  be  used,  and  may  be  tilled  from  the  bottle  or  with  a  pipette. 

As  may  be  seen  in  the  cuts,  in  one  instrument  the  point  of  the  medicine-tube  is  exactly  in 
front  of  the  air-tube  ;  this  is  for  throwing  the  spray  directly  into  the  throat.  In  the  other  two 
a  variation  in  the  direction  of  the  tube  gives  a  corresponding  direction  to  the  spray,  so  that  it 
may  be  thrown  upward  with  one  instrument  and  downward  with  the  other. 

A  common  Davidson  sja-inge  or  rubber  air-bulb  may  be  attached  to  the  proximal  end  of  the 
long  tube  for  forcing  the  air  through. 

Both  tubes,  for  an  inch  from  the  distal  end,  are  flattened  on  their  under  surface,  and  rough- 
ened, and  serve  the  purpose  of  a  tongue-depressor. 

The  advantages  claimed  for  these  atomizers  are  as  follows:  1.  They  are  compact.  2.  They 
are  inexpensive.  3.  Only  the  necessary  cjuantity  of  medicine  need  be  used.  4.  The  throat  is 
surprised,  not  by  a  preliminaiy  gush  of  air,  but  by  the  instantaneous  application  of  the  remedy 
directly  to  the  aJiected  parts,  before  any  contraction  can  take  place. 


Fig.  71.-A  NEW  URETHRAMETER. 


By  SAJvruEL  W.  Gross,  M.  D.,  Philadelphia,  Pa. 


Supplement,  1878, 

20  GEO.  TIEMANN  &  GO'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


Fig.  72.-URETHE0T0ME. 

By  Samuel  W.  Gross,  M.  D.,  Philadelphia,  Pa. 

Medical  Record,  June  15,  1878. 


^^^^^p 


It  is  nothing  more,  as  may  be  seen  in  the  woodcut,  than  a  metallic  exploratory  bougie,  the 
slender  shaft  being  provided  with  a  handle,  grooved  for  the  reception  of  a  steel  rod,  to  one  end 
of  which  is  attached  the  blade,  and  to  the  other  a  button,  through  the  retraction  of  which  the 
former  is  thrown  out  of  the  under  surface  of  the  bulb,  so  that  the  incision  may  be  made  along 
the  floor  of  the  urethra.  The  extent  to  which  the  blade  can  be  projected  is  regulated  by  a 
lateral  screw  near  the  handle.  The  length  of  the  contrivance  is  eleven  inches,  of  which  three 
are  taken  up  by  the  handle,  button  and  screw.  In  actual  practice  I  have  found  two  such  in- 
struments to  be  all  that  are  required.  In  one,  Avhich  is  intended  for  strictures  of  moderate 
calibre,  the  bulb  is  equal  to  No.  15  of  the  French  catheter  scale  ;  while,  in  the  other,  the  bulb 
corresponds  with  No.  23,  which  suflices  to  define  coarctations  of  much  larger  size.  In  excep- 
tional cases,  still  larger  bulbs  may  be  demanded. 

Fig.  73.-A  NEW  UEETHEAL  DILATOR. 

By  Samuel  W.  Gross,  M.  D.,  Philadelphia,  Pa.  ^ 

Medical  Record,  June  15,  1878. 


S.T\tM\M«^&C.O 


I  have  arrived  at  the  conclusion  that  enlargement  of  the  meatus  is  uncalled  for  when  the 
relation  between  its  size  and  that  of  the  spongy  urethra  is  normal.  Hence,  I  have  been  trying 
for  some  months  past  tQ  devise  an  instrument  with  which,  after  divulsion  or  internal  incision, 
the  several  parts  could  alone  be  stretched  during  the  healing  process,  without  detriment  to  the 
remainder  of  the  urethra,  and  I  have  finally  succeeded,  with  the  assistance  of  Messrs.  Geo. 
TiEMANN  &,  Co.,  in  perfecting  the  dilator  shown  in  Fig.  2.  It  consists  of  a  No.  16  steel 
sound,  the  terminal  two-thirds  of  which  are  split  into  two"  halves  to  form  the  blades.  These 
are  united  at  the  vesical  extremity,  Avhere  thej^  are  carefully  bevelled,  and  can  be  separated" 
laterally,  so  as  to  form  a  spindle-shaped  body,  by  a  flattened  cone  attached  to  a  rod,  which  is 
acted  upon  by  a  wheel  at  the  proximal  end  of  the  handle,  the  extent  to  which  the  blades  can 
be  parted  being  indicated  by  a  register,  marked  in  millimetres,  attached  to  the  handle. 

In  using  the  instrument,  the  blades  are  expanded  sufficiently  to  traverse  the  meatus  without 
overstretching  it,  when  its  centre  is  made  to  correspond  with  the  divided  stricture,  and  the 
wheel  is  slowly  turned  until  the  register  indicates  that  the  desired  degree  of  distention  has  been 
reached.    By  reversing  the  wheel,  the  blades  are  approximated  and  the  dilator  withdrawn. 


Fig.  74.-A  NEW  DOUBLE  OANULATED  NEEDLE. 

For  Wire  Sutures  in  Staphylorrhaphy,  Vesico-Vaginal  and  Fistula  in  Ano. 
By  D.  A.  CuRRiE,  M.  D.,  Englewood,  N.  J. 


StrPPIiEMENT,  1878. 
67  CHATHAM  STREET,  NEW  YORK. 


SI 


Branch  Store, 


107  East  28Tn  St.,  N.  Y. 


Fig.  75 -A  NEW  EOTATma  UEETHEOTOME. 

By  John  A.  Puitciiett,  Ilayneville,  Ala. 

Neiu  York  Medical  Journal,  July,  1878. 


It  may  be  called  a  modification  of  Maisonneuve's,  and  consists  of  the  following  parts :  First, 
we  have  a  plain  cylindrical  rod  or  staff,  fifteen  inches  long,  two  millimetres  in  diameter,  and 
with  the  short  curve  of  Bnmstead.  The  external  extremity  has  attached  on  its  under  surface  a 
ring  to  serve  as  a  handle,  while  the  internal  extremity  terminates  in  a  screw  for  the  attachment 
of  filiforms.  A  tunneled  screw-head  (Gouley's  attachment)  is  also  provided  to  screw  on  for 
using  the  finest  whalebone  guides.  Next,  and  in  this  consists  the  peculiarity  of  the  instrument, 
we  have  three  tubes,  each  seven  inches  long,  and  fitting  the  rod  closely,  and  with  a  slit  down  its 
entire  length  so  as  to  pass  the  ring-handle  of  the  staff.  At  the  external  extremity  of  each  tube 
are  attached  laterally  two  rings  for  handles;  while  each  internal  extremity  is  Ijeveled  so  as  to 
pass  strictures  more  readily.  One  tube  carries  at  its  internal  extremity,  attached  superiorly, 
a  triangular,  probe-pointed  "blade,  nine  millimetres  in  size;  a  second  tube  carries  a  similar  l)lade, 
seven  millimetres  in  size,  also  attached  superiorly;  while  the  third  tube  carries  two  similar 
blades,  each  four  millimetres  in  size,  attached  laterally. 

The  staff  is  made  so  long  (fifteen  inches)  in  order  that  the  entire  tube  may  pass  the  ring- 
handle  before  the  blade  enters  the  meatus. 


Fig.  76.-NEW  mSTEUMENT  FOE  EAPID  AND  FOECIBLE  DILAT- 
ATION OF  THE  OEEVIOAL  CANAL. 

By  H.  D.  Hanks,  M.  D.,  New  York. 

Medical  Record,  July  27,  1878. 
(Hank's  Rapid  Uterine  Dilators,  set  of  ten.) 


Fig.  77.-A  MODIFICATION  OF  HODaE'S  OPEN-LEVEE  PESSAEY. 


By  Jno.  S.  Coleman,  M.  D. 

Medical  Record,  July  27,  1878. 


G.TVtMM*^  a^QO. 


It  is  made  of  copper  wire,  covered  with  soft  rubber,  and  can  be  bent  into  any  desired  shape. 


Supplement,  1878. 


f)^  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUME^TTS, 

F.  A.  Stoiilmann.  Edwakd  Pfartie. 


THREE  NEW  URETHRAL  INSTRUMENTS. 

By  Alexandek  S.  Hunter,  M.  D.,  Now  York. 

Medical  liecord,  November  9,  1878. 


H 
l=> 
O" 

H- 1 

(^ 
P 
o 

EH 

w 

W 
P^ 
P 

OQ 

P5 
H 

EH 
|2i 

1=) 
w 


Co- 
Jab 


Fig.  81.-A  NEW  DILATING  UEETHEOTOME. 

Ry  C.  W.  Stearns,  M.  D. 


Btjpplement,  1878. 

67  CHATIIAM  STREE^J\  NEW  YORK.  23 

Branch  Store,  107  East  28tii  Ht.,  N.  Y. 


Fig.  82.-A  NEW  BOW  PESSARY. 

By  C.  N.  Fowler,  M.  D.,  Youngstown,  O. 


'  Fig.  83.-A  NEW  CLUB  FOOT  EXTENSION  APPAEATUS. 

By  Newton  M.  Shaffer,  M.D.,  New  York. 

Medical  Becord,  November  23,  1878. 

Tlie  club-foot  extension  apparatus,  1,  consists  of  the  ordinary  uprights,  ^,^,  fastened 
to  the  conventional  heel-piece,  B,  by  a  plain  joint  on  one  side,  and  an  endless  screw,  C,  on  the 
other.  This  screw,  C,  allows  us,  by  using  the  key,  B,  to  place  the  foot-piece  of  the  apparatus, 
as  a  whole,  in  any  antero-posterior  position  we  choose,  and  to  alter  it  at  will,  either  before  or 
after  application  to  the  foot.  The  dotted  line,  P,  P,  is  supposed  to  represent'the  arc  of  a  circle, 
the  centre  of  which  is  the  screw,  C.  That  part  of  the  foot-piece,  E,  which  corresponds  with  the 
tarsus  and  metatarsus,  is  joined  by  a  common  extension  rod,  F  (shown  in  2),  to  the  portion 
which  lies  under  the  os  calcis.  With  the  key,  (7,  we  are  enabled  to  extend  the  anterior  part  of 
the  foot-piece,  E,  at  pleasure.    2  shows  the  apparatus  lying  on  its  side,  with  a  full  view  of 


Jj 

^\^M,Km^  -"CO. 


the  under  surface  of  the  foot-piece,  E,  and  the  extension  rod,  F.  At  K,  K,  ig  a  leather,  or  rub- 
ber heel,  built  up  on  either  side  of  the  extension  cylinder,  and  L  represents  a  wooden  sole,  which 
is  elevated  to  a  height  corresponding  with  the  rubber  heel.  So  far  as  this  apparatus  is  con- 
cerned, I  may  say  that  it  presents  no  novelty,  save  the  extension  rod,  and  the  modifications 
which  this  addition  to  the  apparatus  makes  necessary. 

To  apply  this  instrument,  we  first,  by  means  of  the  key,  D,  place  the  foot-piece  in  a  position 
that  will  exactly  correspond  with  the  antero-posterior  position  of  the  foot  (whether  tenotomy 
has  been  performed  or  not).  We  then  secure  the  heel  by  tying  the  heel-strap,  H,  as  represented 
in  3.  We  then  bind  the  foot,  anterior  to  the  medio-tarsal  joint,  to  the  extension  part  of  the 
foot-piece,  E,  by  means  of  adhesive  plaster,  vide  3.  We  first  apply  four  or  five  strips  to  the 
plantar  integument,  which  are  reversed  as  they  pass  over  the  end  of  the  foot-piece,  and  are 
then  fastened  to  the  under  part  (wooden)  of  the  foot-plate.  Five  or  six  strips  are  now  passed 
longitudinally  over  the  toes,  and  underneath,  where  they  are  also  secured.  Transverse  pieces 
are  then  passed  around  the  tarsus  and  metatarsus — also  underneath  the  foot-plate— and  secured 
at  convenient  points.  (The  plantar  strips  are  not  shown  in  the  engraving,  and  the  artist  has 
placed  key  G  too  far  forward).  A  bandage  is  then  applied  to  protect  the  adhesive  plaster. 
The  key,  D,  is  now  used  to  flex  the  foot,  in  overcoming  to  the  desii-ed  extent  the  tendo  A  chillis 
resistance. 


SUPPT.EMENT,  1878. 

24  GEO.  TIEMANN  &  CO  'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pparre. 


Fig.  84 -MODIFICATION  OF  TAYLOE'S  ANKLE  SUPPORTS. 

By  Newton  M.  Shaffer,  M.  D.,  New  York. 

Medical  Record,  Novemher  23,  1878. 

I  have  deemed  it  be=;t  as  a  matter  of  experience  not  to  adopt  tlie' club-foot  extension  appa- 
ratus to  the  purely  lateral  deformity,  as  mentioned  before.     It  is,  ordinarily,  and  especially  in 
infants,  a  very  easy  matter  to  rectify  this  by  any  lateral  support  of  gutta-percha,  tin,  or  other 
flexil)le  material.     In  obstinate  cases  it  is  well 
4.  to  make  subcutaneous  sections  to  save  time.  5. 

I  have  found  a  very  useful  lateral  splint  in 
a  modification  of  Taylor's  "ankle-support," 
which  is  represented  in  4.  My  modification 
consists  in  the  substitution  of  the  lateral  hinge, 
Ay  and  the  endless  screw,  B,  for  the  antero- 
posterior joint.  The  dotted  lines  show  the 
movement  acquired  by  using  the  key,  O.  This 
modification  enables  us  to  apply  the  appara- 
tus accurately  to  the  extremes  of  varus  (or  val- 
gus), and  to  gradually,  by  means  of  the  key,  C, 
turn  the  foot  to  the  desired  extent. 

This  splint  is  applied,  as  represented  in  5, 
to  that  side  of  tlie  foot  toward  Avhich  the  de- 
formity looks.  It  should  be  secured  by  a  ban- 
dage (the  bandage  is  omitted  in  the  engraving,  and  two  strips  of 
adhesive  plaster,  Q,  Q,  are  substituted,  so  that  the  application  of  the 
splint  may  be  more  easily  shown).  The  counter-extension  surface 
being  large,  and  the  resistance  generally  slight,  the  pressure  may 
be  very  gradually  applied.  The  foot  can,  under  ordinary  circumstances,  be  changed  from 
the  varus  into  a  valgus  position  without  any  pain  whatever. 


Fig.  85.-Dr.  NEWTON  M.  SHAFFEE'S  BALL  AND  SOCKET  PIVOT. 

For  the  Treatment  of  Malpositions  of  the  Head. 
1. 


This  apparatus,  shown  in  the  engravings,  consists  of  a  pivot,  P,  which  maj^  be  placed  at  any 
desired  angle,  eitlier  lateral  or  antero-posterior,  and  held  there  by  a  clamp  which  is  controlled 
by  a  screw  operaling  at  X.  The  pivot  fits  into  the  chin-piece  (Taylor's)  at  the  point  C,  and,  by 
means  of  the  occipital  uprights,  E,  E,  and  the  chin-cup,  i/,  any  position  of  the  head  may  be 
maintained  and  changed  at  will,  without  removing  the  apparatus  from  the  patient.  The  key, 
D,  loosens  the  ball  of  the  pivot,  and,  the  head  being  placed  by  the  hand  in  the  desired  position, 
the  key  again  is  used  to  tighten  the  clamp.  The  whole  apparatus  may  be  made  to  surmount 
the  two  uprights  of  Taylor's  spinal  brace  or  any  otlier  form  of  support  which  furnishes  a  reli- 
able pedestal.  The  chin-piece  opens  at  F o\\  a  hinge,  and  the  slide  at  O  secures  the  apparatus 
after  it  is  applied  to  the  head.  It  is  an  extremely  useful  instrument,  both  in  Potts'  disease, 
requiring  a  head  support,  and  in  torticollis.  • 


Supplement,  1878. 
67  CHATHAM  STREET,  NEW  YORK. 


25 


Bkanch  Store, 


107  East  28tii  St.,  N.  Y. 


Fig.  86.-Dr.  NEWTON  M.  SHAFFEE'S  PLASTER  ZONE  APPARATUS, 

FOR  POTTS'  DISEASE. 


1  and  2  represent  this  apparatus.  It  consists  of  two  perfectly  plain  uprights  of  annealed 
bar  steel,  B,  B,  riveted  to  the  hip  band,  A,  with  cross-pieces,  E,  E,  and  shoufder-pieces,  D,  I). 
There  are  no  "pad  plates,"  or  •'cork"  or  "hard  rubber"  pads,  no  "hinges"  or  "screws,"  as  in  the 
Taylor  spinal  brace,  from  which  this  apparatus  is  moditied.  F,  F,  F,  F,  represents  a  zone  of 
plaster  of  Paris  applied  around  the  body  and  covering  the  uprights.  P  is  opposite  the  deformity. 
The  pads,  C,  G,  are  simple  rolls  of  canton  flannel,  stitched  to  the  uprights  by  transverse  stitches, 
as  shown  iu  the  engraving. 

2  shows  the  anteilor  appearance  of  the  apparatus.  J"  is  a  padded  Avebbing  strap,  which 
buckles  at  O,  6,  in  1.  i'^,  Pare  two  axillary  straps,  which  are  buckled  to  the  shoulder-pieces, 
D,l)  1.  X  is  a  padded  pelvic  strap,  which  is  inserted  at  either  end  in  the  buckles  on  hip  band  A. 
K,  in  Fig.  2,  shows  the  anterior  appearance  of  the  plaster  zone  which  takes  the  place  of  the 
yielding  "  apron"  of  the  Taylor  spinal  brace. 

To  apply  this  apparatus,  the  patient  is  placed  upon  two  tables  of  equal  height.  The  tables 
are  then  separated  so  that  the  part  that  is  to  receive  the  plaster  zone  shall  be  easily  accessible 
from  all  sides.  The  head  of  the  patient  being  grasped  by  one  assistant,  and  the  thighs  by  an- 
other, gentle  but  steady  traction  is  made,  while  the  operator,  using  a  couple  of  monkey  -^Tenches, 
bends  the  straight  uprights  to  correspond  with  the  outline  of  the  transverse  processes.  The 
canton  flannel  pads  are  now  sewed  on  and  the  apparatus  is  laid  on.  the  back.  The  pelvic  and 
thoracic  straps  are  tightened  :  a  strip  of  canton  flannel  is  passed  around  the  body,  covering  the 
deformity  ;  traction  is  steadily  made,  and,  by  means  of  the  plaster  roller  bandage,  ordinarily 
prepared,  a  zone  of  plaster  is  snugly  applied,  covering  only  two  or  three  vertebrie  above  and 
belov/  the  diseased  bones. 


Supplement,  1870. 

26  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stoiilmann.  Edwaiid  Pparke. 


Fig.  87 -A  NEW  SUBCUTANEOUS  SAW,  KNIFE  AND  BONE  EASP. 

By  George  F.  Shrady,  M.  D. 


Neio  York  Medical  Record,  January  4,  1879. 

Jla   1. 


Fig.  88.-A  DOUBLE  FOECEPS. 

By  C.  S.  Cleborne,  M.  D.,  Medical  Inspector,  U.  S.  Navy. 

Nevj  York  Medical  Record,  January  25,  1879. 

(Artery,  Bulldog  and  Tissue  Forceps,  and  Needle  Holder.) 


Fig.  89.-A  NEW  SPECULUM  VAGINA. 

By  V.  Biakt,  M.D.,  U.  S.  A. 


Supplement,  1879. 
07  CHATHAM  STREET,  NEW  YORK. 


97 


Branoii  Store, 


107  East  28tie  St.,  K.  Y. 


Fig.  90.-POLITZER'S  UNIFOEM  AOOUMETEE. 

"Politzoj-'s  Acoumeter  consiHts  of  a  steel 
cylinder,  four  inillirnetres  in  diameter  and 
twenty-eisj^lit  niillinictrcs  lonjj^,  set  in  vibra- 
tion Ly  tlie  ])]()\v  of  a  liamnier — also  of  Kt(;e]. 
"The  cylinder  is  fastene<l  vei'tif^ally  to  a 
small  column  of  vulcanite,  the  hammer  bf-inijj 
freely  suspended  fi-om  a  slot  in  this  cohimn 
hy  means  of  a  pin.  The  lever  of  the  hammer 
projecting  behind  and  beyond,  tlu;  vulcanite 
can  be  depressed  to  a  certain  point,  and  when 
liberated  allows  the  hammer  to  strike  the 
cylinder  from  a  Certain  height,  thereby  insur- 
ing a  certain  intensity  of  tone.  The  instru- 
ment may  be  held  between  the  thumb  and  forefinger,  the  middle  finger  being 
free  to  set  the  hammer  in  motion.  A  small  disk  is  fastened  to  the  vulcanite  by 
means  of  a  pin — this  is  used  for  testing  perception  for  bone  conduction." — I)r. 
A.  Ilartmann,  Berlin,  translated  by  Dr.  Blake,  Boston. 

"Politzer's  Acoumeter,  to  supply  a  uniform  test  of  hearing,  as  made  by  Geo. 
TiEMANN  &  Co.,  is  an  accurate  imitation  of  Politzer's  own  pattern  ;  showing  no 
diiference  whatever  from  Politzer's  model  as  to  intensity,  tint  and  pitch  of 
sound." — Br.  II.  Kiiapp,  Neio  ITorh. 

Fig.  91.-MAESH'S  EESPIEOMETEE 


[Showing  exact  size.] 

Is  a  mechanism  for  measuring  the  amount  of  air — 

1.  Taken  into  the  lungs  at  each  natural  inspiration, 

2.  Expelled  from  the  lungs  at  each  natural  ea-piratiou. 

3.  Drav/n  into  the  lungs  by  ayorc^f?  insjiiration. 

4.  Expelled  from  the  lungs  by  a  forced  ftrpiration. 
Directions  and  explanations  accomj^any  each  instrument. 

Price,  $10.00. 


Supplement,  1879. 

28  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

P.  A.  Stohlmann.  Edward  Pparre. 


Fig.  92.-AN  ADDITION  TO  THE  SIM'S  SPECULUM  EOE  MAKING 
THAT  INSTEUMENT  SELF-EETAINma. 

By  B.  E.  Fryek,  M.D.,  Surgeon  U.  S.  Army. 
New  York  Medical  Becord,  March  22,  1879. 


We  have  devised  a  very  simple  addition,  which  can  be  made  to  any  Sims'  Speculum,  and 
Avhich  readily  allows  of  that  instrument  being  used  as  a  self -retaining  one.  The  accompanying 
wood-cut  illustrates  the  Speculum  with  this  addition  applied  to  it. 

^4  and  B  are  the  blades  of  the  instrument  ;  at  G  two  parallel  bars,  running  at  right  angles  to 
the  shaft  of  the  Speculum,  are  clamped  firmly  by  circular  milled  nuts,  which  turn  upon  two 
cjdindrical  bars,  which  latter,  at  their  further  extremity,  are  slightly  curved.  Upon  each  of  the 
ends  of  the  curved  bars  is  fastened  a  piece  of  India  rublber  tubing,  and  the  tubing  is  united  in 
a  metal  hook  at  F.  At  I)  the  tubes  pass  over  what  we  call  the  "  bridge,"  which  has  a  base  at 
G.  The  vertical  portion  of  the  bridge  allows  of  being  raised  or  lowered,  and  of  retention  at  the 
desii-ed  height  by  a  screw  at  E. 

The  flange  of  the  blades,  or  specular  portion  of  the  instrument,  is  modelled  after  that  of 
Emmet,  and  these  blades  are  so  bent  as  to  make,  with  the  handle  or  shaft,  an  angle  less  than 
that  in  the  Sims'  instrument  as  usually  made  ;  this  lessened  angle,  as  is  now  generally  known, 
having  been  found  a  niore  convenient  one. 

The  mode  of  using  the  instrument  is  quite  simple.  The  cross-bars  being  loosened  by  turn- 
ing the  milled  nuts,  are  slid  up  the  handle  out  of  the  Avay,  the  blade  to  be  used  is  introduced 
(the  patient  being  of  course  in  the  Sims'  position),  the  cross-bars  are  brought  down  again,  as 
shown  in  the  wood-cut,  and  fastened  ;  the  bridge  is  placed  on  the  patient's  sacrum,  over  the 
clothes,  and  the  rubber  tube  carried  over  the  patient's  right  shoulder.  The  operator  now  draws 
upon  the  Speculum,  as  is  done  in  the  Sims'  instrument,  until  sufficient  perineal  retraction  is 
had,  when  the  tubes,  which  have  been  carried  over  the  patient's  right  shoulder,  are  drawn  upon 
by  the  patient  (or  assistant),  and  either  held  in  her  right  hand,  or  fastened  by  the  hook  to  a 
staple  in  the  table  on  which  she  is  lying.  It  will  be  found  that  a  very  slight  strain  by  the  pa- 
tient will  retain  the  instrument,  for  the  tubes  bind,  as  it  were,  upon  the  shoulder,  and  allow  of 
the  retention  of  the  instrument  by  a  but  comparatively  slight  muscular  effort ;  and  even  if  this 
effort  is  impossible,  as  it  would  of  course  in  a  prolonged  operation,  and  in  any  case  under 
anaesthesia,  the  hook  could  be  easily  fastened  so  as  to  hold  the  instrument  firmly. 


Fig.  9^3.-A  NEW  UTEEOMETEIO  SOUND. 

By  N.  Leonard,  M.D.,  Detroit. 


Supplement,  1879. 
67  CHATHAM  STREET,  NEW  YORK. 


29 


Bkanch  Store, 


107  East  28tu  St.,  N.  Y. 


Pig.  94  a,  b,  c,  d.-METHOD  OF  TEEATING  HIP,  KNEE  AND  ANKLE 

JOINT  DISEASE. 

By  J.  C.  Hutchison,  M.  D.,  Brooklyn,  N.  Y. 

Proceedings  of  the  Medical  Society  of  the  County  of  Kings,  April,  1879. 

To  the  shoe  of  the  sound  limb  a  steel  plate  cor- 
responding to  the  sole  of  the  shoe  is  attached  ]>y  uj)- 
right  rods  two  and  a  half  inches  in  length,  so  as  to 
raise  the  foot  from  the  ground  ;  it  is  the  shoe  ordi- 
narily used  for  shortened  leg.  This  elevated  shoe 
and  a  pair  of  crutches  constitute  the  apparatus.  As 
the  patient  stands  on  his  crutches  the  diseased  limb 
is  suspended ;  the  shoe  is  high  enough  to  prevent  the 
toes  of  the  affected  side  from  touching  the  ground, 
and  the  sole  should  be  covered  with  leather,  to  avoid 
noise  when  walking. 

Extension  is  made  by  the  weight  of  the  suspended 
limb,  which  is  equal  in  weight  to  one-fifth  of  the  whole 
body,  is  greater  than  the  weight  ordinarily  employed 
for  extension,  and  is  quite  sufiicient  to  subdue  the 
spasm  of  the  muscles  which  crowd  the  head  of  the 
bone  into  the  inflamed  acetabulum,  and  is  the  chief 
cause  of  the  pain  which  the  patient  experiences. 

To  secure  Jixatio7i  of  the  knee-joint,  I  use  splints 
made  of  hatters'  felt.  It  consists  of  seven  layers  of 
cotton  cloth  saturated  with  shellac,  and  well  rolled 
together  while  hot.  That  ordinarily  sold  consists  of 
but  five  layers  of  cloth,  which,  for  most  cases,  is  not 
firm  enough.  To  give  effectual  rest  to  the  joint,  the 
splint  should  be  of  sufficient  length  and  wide  enough 
to  nearly  surround  the  limb  ;  it  should  extend  half 
way  up  the  thigh,  and  to  a  corresponding  point  below 
the  knee.  A  shorter  splint,  merely 
'wide  enough  to  cover  the  posterior  part  of  the  limb,  does  not 
secui-e  the  complete  immobility  which  I  have  insisted  upon  in 
the  treatment  of  diseases  of  the  joints,  where  absolute  rest  is 
demanded.  The  splint  having  been  cut  of  the  proper  length  and 
width  (the  material  is  easily  cut  with  a  sharp  knife),  and  the 
limb  covered  with  a  stocking,  the  felt  made  pliable,  preferably 
by  dry  heat  in  an  oven  or  before  an  open  fire,  or  by  immersion 
in  very  hot  water,  is  applied  to  the  limb,  and  covered  quickly 
and  firmly  with  a  bandage  from  below  upwards,  so  as  to  mould 
it  to  all  the  inequalities  of  the  surface.  While  the  splint  is  being- 
applied,  an  assistant  should  make  extension  from  the  foot  so  as 
to  straighten  the  limb  as  much  as  possible, 
in  cases  where  the  joint  is  flexed  ;  but  no  vio- 
lent effort  should  be  made  to  reduce  the  mal- 
position. So  soon  as  the  splint  regains  its 
inflexibility,  and  this  it  does  very  quickly, 
it  may  be  removed,  trimmed  up  and  holes 
punched  an  inch  or  an  inch  and  a  half  from 
the  front  edges  for  lacings.  The  object  in 
punching  the  holes  a  little  way  back  from 
the  edges  is  to  permit  the  splint  to  be  made 
smaller   by  cutting   off   the   edges,  so   that 


•*\  «K.^'5=\g=^^£;=;=' 


Supplement,  1879. 

30  GEO.  TIEMANN  &  CO  'S  SURGICAL  INSTRUMENTS, 

F.  A.  SruHhMANN.  Edward  Pfakre. 


pressure  may  be  kept  xip  as  the  knee  duniiiishes  in 
size.  The  weight  of  tlie  body  is  removed  from  the 
diseased  joint  by  the  use  of  tlie  elevated  shoe  and 
crutelies. 

In  tlie  treatment  of  inflammation  of  the  ankle- 
joint  and  its  consequences,  perfevt  vast  of  the  parts 
(mechanical  immobilization),  and  \\\<i  removal  of  pras- 
sure  from  the  diseased  articular  surfaces,  is  quite  as 
important,  and  I  may  add,  quite  as  satisfactory,  as  in 
the  diseases  of  the  hip  and  knee,  and  the  indications 
may  be  met  in  the  same  way.  Instead  of  the  felt,  I 
prefer  to  use,  for  fixing  the  ankle,  two  splints  made 
of  plaster  of  Paris,  because  they  adapt  themselves 
better  to  the  inequalities  of  the  surface  about  this 
joint ;  one  is  to  be  applied  in  front  and  the  other  be- 
hind, extending  from  the  middle  of  the  leg  to  the  ends 
of  the  metatarsal  bones,  and  wide  enough  to  leave 
an  interval  of  half  an  inch  between  the  edges  on  the 
inner  and  outer  side.  The  splint  should  be  made  of 
two  thicknesses  of  Canton  flannel,  with  coarse  meshes, 
or  three  thicknesses  of  coarse  toweling,  cut  of  the 
proper  length  and  width.  One  layer  of  cloth  is  laid  upon  a  table  and  covered 
with  liquid  plaster,  of  the  consistence  of  cream,  and  spread  smoothly  with  a  table 
knife.  The  other  layers  jare  then  immersed  in  the  plaster  and  applied  evenly  and 
smoothly  over  the  first ;  and  Avhen  both  splints  have  been  prepared,  one  is  applied 
in  front  and  the  other  behind,  with  the  under  surface  of  the  first  layer,  which  is 
not  covered  with  plaster,  next  to  the  skin,  and  a  roller  bandage  is  firmly  applied 
over  the  splints  from  below  upwards.  The  surgeon  should  now  grasp  the  foot, 
and  holding  it  at  a  right  angle  to  the  leg,  make  extension  until  the  plaster 
hardens,  which  requires  about  five  minutes.  The  bandage  should  then  be  re- 
moved, and  the  splints  surrounded  by  three  or  four  strips  of  adhesive  plaster, 
and  the  bandage  re-applied  more  loosely.  Windows  may  be  cut  in  the  plaster, 
so  as  to  allow  any  openings  that  may  exist  in  the  parts  to  be  uncovered.  I  have 
no  hesitation  in  reconmiending  the  elevated  shoe  and  crutches  as  the  best  and 
simplest  niethod  of  making  extension  and  removing  pressure  ;  it  is  just  as  effectual 
for  the  ankle  as  for  the  knee  and  hip  joints.  The  weight  required  is  not  great, 
and  the  weight  of  the  foot  is  suflicieut  to  overcome  the  muscular  contraction. 


Fig.  95  a,  b,  c.-A  NEW  OEE-JOINT  SPLmT. 

By  Chas.  F.  Stillman,  M.  D.,  Curator  of  St.  Francis  Hospital,  New  York. 

Neio  York  Medical  Record,  April  5,  1879. 

This  Splint  maybe  obtained  as  a  brace  (a),  or  as  a  bracket,  {b,  c).  The 
brace  is  composed  of  two  parts,  a  thigh  and  a  leg  piece,  connected  by  a  com[)Ound 
ratcheted  bridge,  usually  placed  upon  the  outside.  This  consists  of  two  flat 
strips,  one  placed  over  the  other,  and  both  2:)rovided  with  slots  down  the  centre, 
in  Avhich  two  removable  thumb-screws  are  placed  to  bind  them  together.  The 
"  thigh-piece "  is  of  leather,  well  lined,  enclosing  a  flexible  metal  sheath  con- 
tinuous with  the  bridge  just  described,  and  it  is  kept  snugly  in  place  upon  the 
limb  by  the  employment  of  elastic  straps.  The  "  leg-piece  "  is  in  two  parts,  con- 
tinuous with  the  bridge  ;  the  steel  strip  descends  until  near  the  ankle,  where  it 
is  bent,  and  passes  to  the  back  of  the  heel.  Here' it  is  hinge-jointed  with  a  hori- 
zontal steel  strip,  which,  at  its  other  extremity,  is  connected  by  a  rubber  cord 
with  the  first  bar  at  the  point  where  it  is  bent. 


SuPPIiEMENT,  1879. 


67  CHxiTlIAM  STUEE1\  NEW  YORK. 
Branch  Store,  107  East  38th  Htkeet,  N.  Y. 


31 


The  hracket  is  composed  of  ziur  or  copj)er,  connected  to  a  compound  slotted 
bridge,  similar  to  that  described  for  the  brace,  'i^he  terminal  plates  are  so 
punched  tliat  the  edges  of  the  ])ei-forations  will  l)e  elevated  above  the  suri-tMinding 
surface,  and  thus  cause  them  to  l)e  held  firmly  in  jdac^e  ]>y  the  plastere<l  bainlage. 

A  steel  slotted  sector  is  atta(;hed  to  tin;  })ridg(!,  either 
before  or  after  the  bracket  has  been  seeurerl  u))on  the 
lirnl),  as  the  case  may  dcmatuJ. 
This  s])lint  is  so  simph;  in 
consti'uction  and  yet  so  perfect, 
tliat  its  ])rinci)de  is  as  readily 
applied  to  tlic  (;lbo\v,  liip  and 
intervei'tebral  articulation  as 
to  the  knee. 


Fig.  96.-A  NEW  UEETHEAL  STEIOTURE  DILATOE. 

By  Geo.  M.  Schweig,  M.  D.,  New  York. 


l<[ew  TorJc  Medical  Record,  May  3,  1879. 


The  modus  operandi  is  sufficiently  simple.  The  exact  location  of  the  stricture  liavini;:  been 
determined,  tlie  Dilator  is  introduced  a  distance  to  make  the  centre  of  the  dilating  Avedge  to  cor- 
respond with  tlie  stricture.  One  hand  then  steadies  the  instrument  by  means  of  the  I'ing  liandles, 
while  the  other  slowly  turns  the  screw-wheel  until  the  desired  degree  of  dilatation  is  ol)tained. 
While  the  index  gives,  at  all  times,  accurate  information  in  this  respect,  and  will  serve  to  keep 
dilatation  within  safe  limits,  as  defined  by  the  calibre  of  the  individual  urethra\  I  usually  stretch 
until  the  patient  complains  of  pain.  I  then  either  desist  or  wait  a  few  minutes,  when  usually 
the  iiain  subsides,  and  I  am  able  to  advance  one  or  two  more  numbers. 

Where  resiliency  is  so  prominent  a  feature  that  slow  and  gradual  dilatation  proves  unavailing, 
the  instrument  will"  be  found  a  porfiet  divulsoi',  by  simply  turning  the  sci'ew-wheel  rajadly,  in- 
stead of  slowly,  up  to  the  point  previously  determined,  after  measurement  of  the  urethra  and 
general  considerations  in  individual  cases,  without  regard,  of  course,  to  the  patient's  sensation.'^. 
I  have  used  it  a  number  of  times  in  this  way,  and  was  surprised  to  find  with  how  little  reaction, 
owing  probably  to  the  broad  surface  of  tlie  dilating  wedge.  Before  withdraAving  the  instru- 
ment, the  screw  must,  of  course,  be  turned  all  the  way  back,  to  allow  the  Avedge  to  sink  liack 
witliin  the  shaft.  Tlie  instrument  is  so  constructed  that,  after  use,  the  wedge  can  be  removed 
entirely,  and  both  it  and  the  shaft  thoroughiy  cleaned. 


Supplement,  1879. 

32  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmann.  Edward  Pparre. 


Fig.  97 -LAEYNG-EAL  OAUTEEY  ELEOTEODE. 

By  R.  P.  Lincoln,  M.  D.,  New  York. 
1 


It  consists  of  an  Electrode  fitted  to  Schroetter's  Handle.  In  some  cases  the  shield  may  be 
dispensed  with,  either  on  account  of  the  patient  being  able  to  avoid  contraction  of  the  palate 
during  an  operation,  or  when  it  can  be  controlled  by  some  retractor. 

1.  Schroeter's  Universal  Handle;  2.  Electrode,  on  which  is  fixed  a  spiral  spring  terminating 
in  a  shield  of  bone,  concealing  a  platina  disk,  which  terminates  the  electrode;  3.  The  same, 
with  the  disk  disclosed  by  the  recession  of  the  shield  when  pressed  against  the  tissue  in  the 
act  of  cauterization.  The  shield  serves  to  protect  the  surrounding  parts  in  case  the  instrument 
is  grasped  by  them  during  an  operation ;   4.  The  disk  in  its  relation  with  the  shield. 


Fig.  98.-A  NEW  UTEEINE  SEOTOE. 

By  Alexander  J.  C.  Skene,  M.  D.,  Brooklyn,  N.  Y.,  May,  1879. 


The  Uterine  Sector,  as  my  friends  the  instrument-makers,  Geo.  Tiemann  &  Co.,  call  it, 
is  an  instrument  which  I  devised  for  vivifying  the  tissues  in  the  operation  for  the  restoration 
of  the  cervix  uteri  after  laceration.  The  handle  and  stem  is  about  the  shape  and  size  of  a 
uterine  sound,  only  a  little  shorter  in  all.  At  the  distal  end  it  is  flat  and  about  five-sixteenths 
of  an  inch  broad,  and  terminates  in  a  number  of  needle  points,  as  seen  at  A,  in  the  figure.  To 
the  under  side  of  the  needle-pointed  stem  is  attached  a  blade,  which  is  lance-pointed,  and  fits 
closely  under  the  curved  portion.  The  point  of  this  is  seen  at  B.  The  end  of  this  blade 
nearest  to  the  handle  is  held  out  from  the  stem  by  a  spring  at  G.  The  two  portions  are  held 
together  by  a  scissors  joint. 

The  instrument  is  used  as  follows:  holding  it  by  the  handle,  the  needle  points  are  pushed 
into  the  tissues  of  the  surface  to  be  pared,  and,  by  pressing  in  the  cutting  blade  at  C,  the  lance 
point  is  made  to  slip  to  and  fro  under  the  middle  point  and  divide  the  tissues.  By  pressing 
the  point  of  the  instrument  forward,  and  at  the  same  time  alternately  pressing  and  relaxing  at 
the  end  of  the  cutting  blade,  a  strip  of  a  surface  can  be  shaved  off  with  facility. 

This  instrument  is  not  designed  to  take  the  place  of  the  scissors  or  knife,  but  is  intended  as 
an  assistant.  For  paring  the  edges  of  the  divided  cervix,-  when  the  tissues  are  so  hard  as  to 
elude  the  knife  or  scissors,  this  Sector  is  quite  valuable.  In  paring  the  upper  angle  of  a  fissure 
of  the  cervix  that  runs  up  above  the  vaginal  juncture,  I  have  used  it  with  more  facility  than  I 
could  the  scissors  or  knife. 


Price  List 


JTOTICE. 

Please  remit  with  your  order  to  save  tTie  expense  of  C.  0.  D. 
return  charges.  Send  Bank  Draft  or  Post  Offi.ce  Money  Order  on 
Neio  YorJi.      Cash  in  small  amounts  may  he  safely  sent  hy  mail, 

EEGISTEEED. 


Parties  finding  it  convenient  to  oMain  our  instruments  through 
dealers,  are  requested  to  order  "Tiemann's  manufacture,"  as 
otherioise  inferior  goods  are  frequently  substituted. 

All  goods  of  our  manufacture  have  our  name  stamped  upon 
them. 


pmrci  LIST 

OF 

SURGICAL  INSTRUMENTS  AND  APPLIANCES, 

REPRESENTED    AND    ENUMERATKD    IS    JIIK 

American  Armamentarium  Chirur(Ticum» 


GEORGE  TIEMANN  &  CO.,  NEW  YORK. 


!Part  I, 


1. 

lb. 

2. 

2b. 

2c. 

3. 

4. 


6. 

Qb. 
7. 
8. 
9. 

10. 

11. 

115. 

12. 

126. 

13. 

136. 

14. 

146. 

15. 

156. 

16. 

17. 

18. 

19. 

20. 


21. 

22. 
23. 

24. 


PRICE 

Amputating  and  Trepanning. 

T.  &  Co.'s  Bow  Saw $8.50 

Stolilmann's  Rotating  Saw 35.00 

T.  &  Co.'s  Capital  Saw 5.00 

Satterlee's  Capital  Saw 5.00 

Parker's  Capital  SaAv 4.50 

Metacarpal  Saw 1.50 

Catling,  small 2.00 

Catling,  medium 3.00 

Catling,  long 4.50 

Liston's  Knife,  small 2.50 

Liston's  Knife,  medium 3.50 

Liston's  Knife,  long 4.50 

Wood's  Circular  Knife 4.00 

Wight's  Folding  Knife 5.50 

Liston's  Long  Knife 4.50 

Parker's  Knife 5.50 

Conant's  Saw  and  Knives 12.00 

Conant's  Saw  and  Knives 9.00 

Trepanning  Scalpel 1.50 

Amputating  Scalpel 1.00 

Amputating  Scalpel 1.50 

Amputating  Tenaculum 1.25 

Amputating  Tenaculum 1.00 

Lenticular  Knife 1.50 

Raspatory 1 .75 

Hamilton's  Levator 1.50 

Cartilage  Knife 2.00 

Liston's  Artery  Forceps 1.50 

Langenbeck's  Artery  Forceps 1.50 

Butcher's  Bow  Saw 16.00 

Operating  Scalpel,  feruled 1.25 

Operating  Scalpel 1.25 

Operating  Scalpel 1.25 

Operating  Scalpel 1.25 

Figs.  17,  18,  19,  20,  ivory  handles. .  1.50 
(See  also  Fig.  137,  &c.) 

Double  Hook 2.50 

Double  Hook,  ivory  handle 2.75 

Tenotome,  sharp  pointed 1.25 

Tenotome,  blunt  pointed 1.25 

Tenotome,  convex  edged 1.25 


26. 

27. 
28. 
29. 
30. 


31. 
32. 

33. 


34. 

346. 

35. 

36. 

366. 

37. 

38. 


396. 
40. 

41. 


42. 

43. 
436. 
44. 
446. 


PRICE 

Tenotome,  concave  edged $1.25 

Figs.  22,  23,  24,  25,  ivory  handles.  .  1.50 

Tenotome,  plain l.QO 

Cooper's  Hernia  Knife 1.25 

Probe-pointed  Bistoury 1.25 

Sharp-pointed  Bistoury 1.25 

Straight  Blunt-pointed  Bistoury. . .  1.25 

Finger  Knife 1.25 

Figs.  23, 27,  28, 29,  30,  ivory  handles,  1 .50 
(See  also  Figs.  139,  &c.,  plain.) 

Satterlee's  Bone  Forceps  2.50 

Aneurism  Needle 1.25 

Aneurism  Needle,  ivory  handle 1.50 

Tenaculum 1.25 

Tenaculum,  ivory  handle 1.50 

(Tenaculum,  plain,  see  Fig.  136.) 


Osteotomy  Instruments. 

Brainard's  Drills,  5  in  set 

Brainard's  Drills,  3  in  set 

T.  &  Co.'s  Drill  Stock 

Hamilton's  Bone  Drills 

Howard's  Bone  Drills 

Buck's  Bone  Drills 

Sand's  Pereosteotome 

Sayre's  Pereosteotome 

(Adams'  Subcutaneous   Section  of 

Bone,  see  Supplement,  Figs.  9, 10, 

11,  12.) 

Ferguson's  Lion  Jaw  Forceps 

Ferguson's  Sequestrum  Forceps. . . 
Hamilton's  Sequestrum  Forceps. . . 

Liston's  Bone  Forceps,  best 

Liston's  Bone  Forceps,German  steel, 
Liston's  Bone  Forceps,  extra  sizes . . 

4.00  to 
Liston's  Bone  Forceps,  curved  on 

the  flat 

Liston's  Bone  Forceps,  angular  curve 
Hamilton's  Serrated  Bone  Cutter. . 
Trepanning  Elevator  and  Raspatorv 
Langenbeck's  Bone  Hook  &  Levator, 


3.50 
2.75 
7.00 
7.00 
7.00 
5.00 
2.50 
2.00 


3.00 
2.50 
2.50 
3.00 
2.50 

7.00 

3.50 
3.50 
10.00 
1.25 
1.75 


Price  List. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfaree. 


FIG.  PART  I.  PRICE 

45.    Plain  Trepanning  Elevator $1.00 

456.  U.  S.  A.  Raspatory 2.50 

4G.    Hoffman's  Gouge  Forceps 4.00 

47.  Crown  Trepliine  and  Handle 4.00 

48.  Gait's  Trephine  and  Handle 4.50 

49.  T.  &  Co.'s  Trephine  Handle 1.50 

Trephine  Handle,  plain 75 

50.  Pope's  Antrum  Drill 3.50 

51.  Hey'sSaw 1.75 

53.    Hey'sSaw 1.50 

53.  Detmold's  jMetacarpal  Saw 1.50 

53^*.  Farabeuf "s  Osteophor 7.00 

53c.  Hamilton's  Osteophor 4.00 

53f?.  Lewis'  Folding  Saw 2.50 

54.  SzjTiianowski's  Saw 20.00 

55.  Chain  Saw,  best 10.00 

Chain  Saw,  plain 8.00 

(Link  Saw,  see  Supplement,  Fig.  54.) 

5G.     Chain-Saw  Carrier 2.00 

57.  T.  &  Co.'s  Circular  Saw 12.00 

58.  Lifting-Back  Saw,  small 2.50 

Lifting-Back  Saw,  small 3.00 

Lifting-Back  Saw,  medium 3.50 

Lifting-Back  Saw,  medium 4.00 

Lifting-Back  Saw,  large 4.50 

59.  Trepanning  Elevator  and  Lenticular    1 .75 

60.  Lente's  Interosseous  Saw 1.50 

60b.  Buck's  Chain- Saw  Conductor 3.00 

61.  Bone  Drill,  for  ununited  fractures.  .  2.50 

62.  Prince's  Retractor 3.50 

63.  Prince's  Bone  Staff 3.50 

G3b.  Blandin's  Bone  Staff 3.00 

64.  Tirefond 2.00 

Tirefond,  plain 1.50 

65.  Maxillas  Saw 2.00 

66.  Graefe's  Circular  Saw 20.00 

67.  Maxillae  Saw 2.00 

68.  Rib  Shears  (Costotome) 6.00 

Rib  Shears,  plain 5.00 

69.  Isaac's  Bone  Forceps,  small 4.00 

Isaac's  Bone  Forceps,  large. .  5.50  to  7.00 

70.  Goodwillie's  Levator 2.00 

71.  Goodwillie's  Levator 2.00 

72.  Brace  Trepan  and  Crown 21  00 

Brace  Trepan,  without  Crown  ....  15.00 

Guarded  Crown 6.00 

73.  Mott's  Retractors,  pair 1.50 

74.  Blackmau's  Retractors,  pair 3.00 

75.  Hand  Trepan 2.50 

76.  Parker's  Retractors,  pair 1.50 

77.  Ferguson's  Lion  Forceps 3.50 

78.  Heine's  Saw 300.00 

785.  Hebra's  Bone  Scoop. 2.50 

78c.  Marshall's  Osteotrite 2.50 

79.  Darby's  Rongeur 4.00 


81. 


82. 

83. 

84. 

846, 

85. 

86. 

866. 

86c. 


87. 

88. 

89. 

90. 

91. 

916. 

92. 

93. 

936. 

94. 

95. 

96. 

97. 

98. 

986, 

99. 
100. 
101. 
102. 
1026, 
103. 


1036, 
1036, 
103c?. 

104. 

1046. 

105. 

106. 

1066. 

107. 

108. 

109. 

110. 

111. 

1116. 

113. 


PART  I.  PRICE 

Curved  Rongeur $3.50 

Straight  Rongeur 3.50 

Van  Buren's  Sequestrum  Forceps.  3.50 
Van  Buren's  Sequestrum  Forceps, 

fine 3.00 

Markoe's  Sequestrum  Forceps. . . .  3.00 

Lead  ]Mallet 2.50 

Gouge 1.50 

Szymanowski's  Gouge 2.50 

Curved  Hand  Gouge 1.50 

Chisel,  various  sizes 1.00  to  1.25 

Linhardt's  Knife  Chisel 1.50 

Darby's  Set  of  Osteotomes 7.00 

Arterial  Instruments. 

Speir's  Artery  Constrictor  ....  , . .     4.00 

Prince's  Tenaculum  Forceps 6.00 

Steam's  Claws  and  Forceps 8.00 

Crampton"s  Artery  Needles 5.00 

Wight's  Artery  Forceps 2.50 

Bilroth's  Artery  Clamps 8-00 

Carroll's  Knot  Tyer 2.00 

Mott's  Aneurism  Needles 3.75 

Post's  Ligature  Carrier 4.00 

Plain  Aneurism  Needle 75 

Helical  Needle 1.75 

Ligature  Needle 1.00 

T.  &  Co.'s  Hollow  Needle 4.00 

Student's  Aneurism  Needle 3.00 

Torsion  Forceps 3.50 

Nott's  Artery  Clamp  Forceps 6.00 

Hewson's  Torsion  Forceps 8.00 

Hamilton's  Artery  Forceps 2.50 

Milne's  Artery  Forceps 1.50 

Phelp's  Artery  Forceps 4.50 

Spring-catch  Artery  Forceps,  fe- 
nestrated       2.00 

Spring-catch  Artery  Forceps,  plain    1.50 

c.  Serres-fins 15 

c.  Serres-fins,  steel 25 

Langenbeck's  Serre-fin 50 

Gross'  Artery  Compressor 5.00 

Petit's  Spiral  Tourniquet 2.00 

Charriere's  Tourniquet 2.50 

Prussian  Field  Tourniquet 75 

U.  S.  A.  Field  Tourniquet 1.00 

Mott's  Tourniquet 2.00 

Gross'  Tourniquet 13.00 

Field  Tourniquet 1.00 

Erichson's  Arterial  Compressor  . .  35.00 

Buck's  Arterial  Compressor 35.00 

Skey's  Arterial  Compressor 24.00 

Esmarch's  Bandage  Clamp 1.50 

Langenbeck's  Bandage  Clamp  . . .     3.50 
Briddon's  Compressoi-. . .  30.00  to  60.00 


Pkice  Lisf. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  SStii  St.,  K  Y. 


FIG.  PART  I.  PRICE 

113.  May's  Tourniquet $15.00 

114.  T.  &  Co.'s  Tourniquet 2.00 

1145.  Acupressure  Pins .25 

Bullet  Instruments. 

115.  U.  S.  A.  Bullet  Forceps 2.00 

116.  Bullet  Scoop,  T.  &  Co.'s 1.75 

117.  Bullet  Seeker,  burr  head 1.00 

118.  Moses'  Bullet  Extractor 3.50 

119.  T.  &  Co.'s  Bullet  Screw 2.00 

120.  Nelaton's  Bullet  Probe GO 

131.  Flexible  Bullet  Seeker 6.00 

122.  Sayre's  Bullet  Probe 8.00 

Bill's    Arrow    Extractor    (Fig.  6, 

Supplement) 2.50 

123.  T.  &  Co.'s  Bullet  Forceps 2.25 

1236.  Gross'  Bullet  Forceps 2.50 

124.  Hamilton's  Bullet  Forceps 2.50 

125.  Bullet  Probe,  silver 75 

126.  Hamilton's  Director  Probes 2.50 

127.  Probe  and  Lint  Carrier 75 

Whalebone  Bullet  Probe 60 

Lead  Bullet  Probe 50 

128.  Thomasin's  Bullet  Forceps 2.50 

Minor  Operating  Instruments. 

129.  Plain  Artery  Forceps 1.00 

Plain  Artery  Forceps,  small 75 

1295.  Wood's  Artery  Forceps 2.25 

130.  Coxeter's  Artery  Forceps. .  1.00  to  1.25 

130&.  Andrew's  Artery  Forceps 2.50 

1315.  Spring-catch  Artery  Forceps 1.50 

132.  Slide-catch  Artery  Forceps 2.50 

133.  Spatula  and  Elevator 60 

134.  Hernia  Director 2.50 

135.  Exploring  Director 1.00 

1355.  Hunter's  Director 75 

135c.  Hunter's  Artery  &  Needle  Forceps,    2.50 

136.  Tenaculum,  plain .75 

137.  Scalpel,  plain 80 

138.  Scalpel,  ivory 1.00 

139.  Probe-pointed  Bistoury 1.00 

140.  Cooper's  Hernia  Knife 1.00 

141.  Scalpel,  ivory 1.00 

142.  Finger  Knife 1.00 

143.  Sharp-pointed  Bistoury 1.00 

Herniatome,  Allis'  (Fig.  35,  Sup- 
plement)       7.00 

(For  Bistouries,  Scalpels,  Teno- 
tomes, &c.,  see  also  pages  4,  6, 
48,  54.) 

144.  Peters'  Hernia  Director 2.50 

145.  Hamilton's  Dry  Dissector 1.50 

1455.  Hamilton's  Dry  Dissector 1.50 

145c.  Hamilton's  Diy  Dissector  ... 1.50 


FIG.  PART  I.  PRICE 

145d.  Hamilton's  Dry  Dissector ,$1.50 

146.  Little's  Large  Scalpel 1.50 

1465.  Little's  Medium  Scalpel 1.50 

146c.  Little's  Small  Scalpel 1.50 

l46fZ.  Little's  Tenaculum 1..10 

146(?.  Little's  Aneurism  Needle .  1 .50 

147.  Little's  Retractor 1.50 

148.  Little's  Pointed  Bistoury 1.50 

1485.  Little's  Hernia  Knife 1.50 

148c.  Little's  Probe  Bistoury 1.50 

148fZ.  Little's  Straight  Bistoury 1.50 

149.  Artery  Scissors 1.75 

150.  Angular  Operating  Scissors 1.50 

151.  Dissecting  Scissors 75,  1.00 

152.  Scissors,  curved  on  the  flat 1.50 

153.  Pol^'pus  Dressing  Forceps 1.50 

154.  Probe  Director  and  Tongue-tie. . .  1.00 
1545,  c,  d,  e.    Dugas'  Caustic  Case 5.00 

155.  Parker's  Comp'd  Catheter,  silver. .     4.50 
Parker's  Comp'd  Catheter,  plated.     3.00 

156.  Compound  Catheter,  silver 2.75 

Compound  Catheter,  plated 1.50 

157.  Dressing  Forceps 1.00  to  1.50 

158.  Dressing  Scissors 1.00  to  1.25 

159.  Spatula,  steel 60 

Spatula,  hard  rubber 60 

1595.  Caustic  Case,  rubber  and  silver ...     1 .00 

159c.  Caustic  Case,  silver 1.50 

Caustic  Case,  seamless 2.50 

Minor  Operating  Instruments  for  Pocket 
Cases. 

PLAIN  TORTOiSE-SHELL  HANDLES,  SINGLE- 
BLADED,  ANY  SHAPE   OP  BLADE. 

160.  Pocket  Instrument 1.00 

161.  Seton  Needle 1.00 

162.  Double-bladed  Pocket  Instrument, 

any  of  the  varieties  of  blades. . .     1.50 

163.  Torsion  Forceps 2.50 

164.  Thumb  Lancet 50 

Thumb  Lancet,  best 1.00 

165.  Abscess  Lancet 1.00 

166.  Thumb  Lancet 50 

Thumb  Lancet,  best 1.00 

TORTOISE-SHELL   SLIDE-CATCH  HANDLES. 

167.  Cooper's  Hernia  Knife 1.75 

168.  Probe-pointed  Bistoury 1.75 

169.  Sharp-pointed  Bistoury 1.75 

170.  Scalpel 1.75 

171.  Tenotome 1.75 

172.  Gum  Lancet 1  75 

173.  Tenaculum 1.75 

SPRING-CATCH  TORTOISE-SHELL  HA2sDLES. 

174.  Syme's  Knife  and  Scalpel 2.75 


Price  List. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


FIG.  PART   I.  PRICE 

All  other  Double-bladcd  Spring- 
catch  Pocket  Instruments,  eacli.  f3.75 

175.  Four-bladed  Spring-catch  Pocket 

Instrument 6.00 

175b.  Gaj^'s  Open  Ring  Scissors 1.50 

176.  Tenaculum  and  Gu'm  Lancet 2.75 

SLIDE-CATCH  TORTOISE-SHELL  HANDLES. 

177.  Scalpel  and  Probe  Bistourj^ 2.50 

178.  Silver  Probes,  pair 75 

179.  Tenaculum  and  Gum  Lancet.  ... .     2.50 

180.  Post's  and  Buck's  Needles 2.50 

181.  Sharp  Bistoury  and  Tenotome 2.50 

Any   other    combination   of    two 

blades  in  one  handle,  each 2.50 

182.  Director  and  Aneurism  Needle .. .       .75 

183.  Porte  Meche 40 

184.  Director  and  Tongue-Tie 60 

185.  T.  &  Co.'s  Patent  Catch  Pocket 

Instrument,  single  blade 1.75 

(Cleborne's  Tenaculum  Needle  and 
Wire  Twister  Fig.  46,  Supple- 
ment). 

186.  Stimson's  Needle  Forceps  .......     3.50 

Suture  Needles. 

187.  Open-eyed  Suture  Needle 25 

188.  Curved  Suture  Needles 10 

189.  Half  Curved  Needles 10 

190.  Wire  Suture  Needles 05 

Fine  Needles,  for  operations  on  the 

eyes  and  lids,  straight  or  curved,      .15 

Sims'  Needles 15 

Bozeman's  Needles 40 

Emmett's  Needles 15 

Dowell's  Hernia  Needle 75 

Piatt's  Open-eyed  Needle 25 

Cupping  Instruments. 

191.  T.  &  Co.'s  Patent  Scarificator  ....  7.00 

192.  Ten-bladed  Scarificator 4.00 

Ten-bladed  Scarificator,  5.00;  best,  6.00 

193.  Glass  and  Rubber  Cup 1.00 

194.  Twelve-bladed  Scarificator 

14.50,  5.00,  6.00,  7.00,  8.00 

195.  Cupping  Pump 3.00 

Stopcock 50 

Glass  Cup,  with  brass  fitting.     .60 

Together 4.10 

Glass  Cup,  plain,  per  doz 1.50 

Tin  Cup 20 

Lieeching  Instruments. 

196.  T.  &  Co.'s  Patent  Leech 7.00 

197.  Heurteloup's  Leech 8.00 

Reese's  Leech  (Fig.  8,  Supplement),  4.50 


FIG.  PART   I.  PRICE 

Phlebotomy  Instruments. 

198.  Plain  Spring  Lancet,  brass $1.50 

199.  T.  &  Co.'s  Spring  Lancet 2.50 

200.  Button-Trigger  Spring  Lancet  . . .     2.50 
Figs.  199,  200,  German  silver,  in 

case  ;  Fig.  200,  if  silver,  in  case,    4.00 

Thumb  Lancets,  best 75  to  1.00 

Thumb  Lancets,  plain 50 

Counter  Irritants. 

201.  Lebenswecker 2.50 

Baunscheidt's  Oil,  genuine 2.50 

Baunscheidt's  Oil,  imitation 1.50 

Vaccinating  Instruments. 

202.  T.  &  Co.'s  Vaccinating  Scarificator,     5.00 

203.  Vaccinating  Lancet 75 

204.  Dawson's  Vaccinator  3.50 

205.  Carroll's  Vaccinator 25 

206.  Teller's  Vaccinator 2.50 

207.  Weir's  Vaccinator  and  Comb 1.00 

208.  Weir's  Vaccinating  Lancet 75 

209.  T.  &  Co.'s  Vaccinating  Trocar  . . .     2.50 
Vaccine  on  Quill  Slips,  in  Capil- 
lary Tubes  or  Crusts,  procured 

at  the  lowest  market  rates. 

Transfusion  Instruments. 

210.  Aveling's  Apparatus 4.50 

The  same,  with  1  Scalpel  and  1 

pair  Forceps,  in  morocco  case. .     8.00 

211.  Fryer's  Apparatus 6.50 

212.  Garrigue's  Apparatus 4.00 

Hypodermic   Syringes. 

213.  No.  0,  incase 3.00 

214.  No.  1,  in  case 4.00 

215.  No.  2,  in  case 3.00 

216.  No.  3,  in  case 2.50 

217.  No.  4,  incase 2.50 

No.  5,  in  case 3.00 

218.  No.  6,  Stimson's 3.00 

319.    No.  7,  Vance's,  in  case 4.50 

Morocco  Case  for  Syringe 50 

Metallic  Case 75 

Green's  Hypodermic  Case 12.00 

220.  No.  8,  T.  &  Co.'s  Patent 2.50 

EXTRA  NEEDLES  FOR  HYPODERMIC   SYRINGES. 

221.  Gold 1.00 

Steel 50 

Steel,  gilt 75 

Steel,  nickel-plated 65 

222.  T.  &  Co.'s  Patent  Bottle 25 

223.  Pinkhani's  Measure 50 

224.  T.  &  Co.'s  Air-tight  Bottle  .......      .75 


PiacE  List. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Stoke, 


107  East  28Tn  St.,  N.  Y. 


FIG.  PART  I.  PRICE 

Diagnostic  Instruments. 

225.  Clinical  Thermometers  : 

No.  1.    Plain  Bulbs,  hard  rubber  case, 

length,  4  inches $2.50 

Same,  5  inches 3.00 

Same,  6  inches,  divided  into 

fourths 3.50 

Same,  G  and  F,  4  inches 4.50 

No.  2.     Silver  Sliding  Case 3.50 

Silver  Pencil  Case 5.00 

German  Silver  Screw  Case . . .  8.00 
No.  3.    Hawksley's  Constricted  Bulb, 
divided  into  fourths  : 

Silver  Screvv^  Case 4.50 

Hard  Rubber  Case 3.00 

No.  4.  Dunster's  Constricted  Bulb, 
%%.  inches  long,  divided  into 
half  degrees  : 

Silver  Case,  in  bayonet  fitting,  4.50 
No.  5.     Casella's  Registering,  divided 
into  fifths,  ivory  scale,  mo- 
rocco case  : 

American  manufacture 3.00 

English  manufacture 7.00 

Nos.  6  and  7.    Seguin's  Case  of  2  Sur- 
face and  1  Straight  Self-Re- 
gistering Thermometers  . . .  7.00 
No.  8.    Pencil  Case  Thermometers  . .  5.50 
No.  9.    T.  &  Co.'s  Patent  Bent  Ther- 
mometer, in  case 3.50 

Apparatus  for   Urinary  Examinations. 

226.  Flint's  Apparatus 70.45 

(Specified  on  page  77,  Part  I.) 

227.  Graduated  Measure  Glass,  6  oz.  . .  .75 

228.  Urinometer 1.00 

229.  Flask,  Burner  and  Burette 4.75 

230.  Urea  Tube 2.00 

231.  Retort  Stand 1.50 

281J.  Water  Bath 2.60 

231c,  d.  Piffard's  Water  Oven 1.50 

231e.  Bunsen  Burner 1.50 

232.  Piflfard's  Measuring  Pipette 50 

2325.  Piffard's  Fermentation  Test 

233.  Graduated  Tube,  for  analysis 1.50 

234.  Mohr's  Burette 2.00 

234&.  Mohr's  Stand 2.00 

234c.  Mohr's  Beaker,  2  oz 10 

235.  Rapid  Fiher 5.00 

(Piffard's  Extra  Apparatus,  speci- 
fied on  page  79,  Part  I.) 

236.  Vance's  Urine  Test  Case 6.00 

Ormiston's  Urine  Test  Case 17.00 

237.  Roberts'  Urine  Test  Apparatus,  im- 

proved by  Levs^is 25.00 


PIO.  PART   I.  PRICE 

Auscultation  and  Percussion  Instru- 
ments. 

STETHOSCOPES  : 

238.  Flexible $1.25 

239.  Hawksley's 1.25 

240.  Walsh's 1.00 

241.  Barclay's 1.25 

242.  Elliottson's 5.00 

243.  Stokes' 1.00 

244.  Dobell's 1..50 

245.  Cedar 1.50 

246.  Loomis' 1.75 

247.  Cedar,  ivory  mounted 2.50 

248.  Burrows' 2.25 

249.  Quain's  Telescopic 2.00 

250.  Short  Cedar 75 

251.  Arnold's,  fiexible 1.00 

252.  Clark's 1.25 

253.  Martin's  Combination 5.00 

254.  Cammann's  Cjdindr'l  Auscultator.     1.25 

255.  Cammann'sIntracostalAuscultator    1.50 

256.  Cedar,  Vulcanite 1.50 

257.  Ferguson's 1.50 

258.  Glass  Pleximeter 50 

259.  Hard  Rubber  Pleximeter 40 

260.  Percussor,  whalebone  stem 1.00 

261.  Gerne's  Pleximeter 2.50 

262.  Ivory  Pleximeter 1.00 

263.  Winterich's  Hammer 2.50 

264.  Flint's  Pleximeter 35 

.  265.  Flint's  Percussor 75 

binaural   STETHOSCOPES  : 

266.  Cammann's,  with  Snelling's  Rub- 

ber Bell 4.50 

267.  Speir's  Echoscope 7.00 

268.  Allison's  Differential 6.00 

269.  Knight's 8.00 

270.  Davis' 5.00 

Diagnostic   Instruments. 

271.  Carroll's  Stethometer 3.00 

272.  Flint's  Cyrtometer 15.00 

273.  Cammann's  Cardiometer 4.50 

274.  Sieveking's  ^sthesiomcter 4.00 

275.  Hammond's  ^sthesiometer 3.00 

276.  Carroll's  ^sthesiometer 4.00 

277.  Vance's  ^sthesiometer 5.00 

278.  Quain's  Stethometer 15.00 

279.  Marey's  Sphygmograph 75.00 

280.  Holden's  Sphygmograph 

281.  Pond's  Sphygmograph 35.00 

282.  White's  Hismarheumoscope 2.50 

283.  Dynamometer 8.00 

284.  Beard's  Piesmeter 3.50 


Price  Lis'". 

GEO.  TIEMANN  &  CO'.S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Pfarre. 


FIG. 

285. 
286. 


287. 
288. 
2886. 
289. 

2t;o. 

291. 
292. 
293. 
294. 


295. 
296. 
297. 
298. 
299. 
300. 
30L 
302. 
303. 
304. 
305. 
300. 
307. 
308. 
309. 
310. 
311. 


312. 
313. 

314. 
315. 
316. 
317. 
318. 
319. 
320. 
321. 
322. 
323. 
324. 
325. 


326. 
327. 
328. 
329, 


part  I.  PRICE 

Hamilton's  Dj'iiamometer $3.00 

Dynamograpli 75.00 

Microscopic  Instruments. 

Microscope. 45.00  to  100.00 

Duchenne's  Trocar 2.50 

Duchenne's  Trocar 3.50 

Exploring  Trocar 1.50 

T.  &  Co.'s  Exploring  Trocar 2.00 

Transplantation  Scissors 6.50 

Noeggeratli's  Exploring  Trocar  .  .     3.50 

Jewett's  Section  Cutter 9.00 

Curtis'  Section  Knife  and  Frame .   15.00 

Curtis'  Frame,  onl}- 12.00 

Curtis'  Knife,  only 3.50 

T.  &  Co.'s  Valentine's  Knife 8.00 

Piflfard's  Cutisector 5.00 

Section  Knife 1.50 

Charriere's  Section  Knife 8.00 

Section  Razor 2.00 

Microscopic  Pocket  Scalpel 1.00 

Microscopic  Scalpel 75 

Probe  Microscopic  Bistoury 1.25 

Sliarji  Microscopic  Bistoury 1.25 

Spear  Microscopic  Knife 75 

Small  Microscopic  Knife 50 

Microscopic  Needle 75 

Needle  Holder 1 .25 

Curved  Microscopic  Forceps 1.00 

Straight  Microscopic  Forceps 75 

Microscopic  Sjalnge,  No.  0,  in  case,    5.50 
Microscopic  Syringe,  No.  1,  in  case,    6.50 

Post   Mortem  Instruments. 

Embalming  Pump 22.00 

Anatomical  Sj'ringe,  No.  1 40.00 

Anatomical  Syringe,  No.  2 30.00 

Steel  Cartilage  Knife 60 

Dis.secting  Hook 50 

Dissecting  Double  Hook 50 

Darling's  Chain  Hook 50 

Grappling  Hook 60 

Chain  Hook 25 

Reamer 1.00 

Rachitome,  Chisel 2.00 

Costotome,  Chisel 1.50 

Blowpipe 25 

Tripod  Head  Rest 3.00 

Darling's  Scalpel 75 

Darling's  Scalpel,  ivory 1.00 

Glazed  Scalpel 60 

Brain  Knife 1.50 

Enterotome 2.50 

Calvarian  Hook 1.50 

Post  Mortem  Knife,  Saw  &  Handle,    5.50 


FIG.  PART  I.  PRICE 

330.  Post  Mortem  Hammer |2.50 

331.  Chisel 50  to  1.50 

oo2.  Finnell's  Knife  and  Saw 4.50 

3S3.  Double  Rachitome 15.00 

Instruments  for    Physiological  Experi- 
ments. 

CONTAINED  IN   FLINT'S  ARMAMENTARIUM. 

334.  Portal  Vein  Ligator 1.75 

335.  Forceps,  for  Spinal  Canal 3.50 

336.  Hey'sSaw 1.75 

337.  Dressing  Forceps,  with  catch 2.00 

338.  Drill,  for  Medulla  Oblongata 1.75 

339.  Bone  Forceps,  with  rings 3.50 

340.  Blunt  Hook 1.25 

341.  Nerve  Knife 1.50 

342.  Ventricle  Pique 2.50 

343.  Gastric  Fistula  Forceps 2.37 

344.  Gastric  Fistula  Tube,  No.  1 1.50 

Gastric  Fistula  Tube,  No.  2 2.50 

345.  Heart  Catheter 1.00 

346.  Long  Dissecting  Forceps 1.25 

347.  Medium  Dissecting  Forceps 1.00 

348.  Short  Dissecting  Forceps 75 

349.  Blowpipe 2.50 

350.  Cartilage  Knife 2.00 

351.  Probe-pointed  Scissors 1.25 

352.  Lifting-back  Saw,  large 4.50 

Lifting-back  Saw,  medium 3.50 

Lifting-back  Saw,  small 2.50 

(Langenbeck's  Seri"es-fins,  Fig.  103, 

Part  I.) 
(Probe  Bistoury,  Fig.  17,  Part  I.) 
(Scalpels,  Figs.  17,  18,  19,  Part  I.) 
(Artery  Needle,  Fig.  32,  Part  I.) 
(Microscopic  Needle,  Fig.  306,  Part  I.) 
(Tenotome,  Fig.  22,  Part  I.) 

Electro-Therapeutic  Instruments. 

BATTERIES : 

353.  Stoehrer's  Galvanic,  8  cells 20.00 

Stoehrer's  Galvanic,  16  cells 30.00 

Stoehrer's  Galvanic,  32  cells 55.00 

354.  Gaiffe's  Battery 12.00 

Gaiife's  Battery,  nickel- plated. . . .  14.00 

Extra  Trough 1.75 

Extra  Zinc 20 

Bisulphate  Mercury,  per  oz 25 

355.  Kidder's  Tip-Battery 27.00 

356.  No.  3  Galvano-Farradic  Machine.  22.00 
The  same,  nickel-plated 25.00 

357.  Kidder's  Family  Battery 16.00 

358.  Johnson's  Monitor 20.00 

359.  Kidder'sMagneto-Electric  Machine  10.00 
860.     Hydro-Rheostat 10.00 


Price  List. 
67  CHATHAM  STREET,  NEW  YORK. 


Bkanch  Store, 


1C7  East  28Tir  St.,  N.Y. 


FIG. 

3G1. 


363. 


363. 
364. 
365. 
366. 
367. 
368. 
369. 
370. 
371. 
372. 
373. 
374. 
375. 
376. 
377. 
378. 
379. 
380. 
381. 
383. 
383. 
384. 
385. 
386. 

387. 
388. 
389. 


390. 
391. 


393. 


393. 
394. 


part  i.  price 

Voltaic  Armadillo  : 

Soles,  per  pair $1.00 

Wrist  Band 1.00 

Ankle  Band 1.00 

Knee  Band 2.35 

Head  Band 3.00 

Arm  Band 3.00 

Thigh  Band 3.50 

Waist  Band 5.00 

Garratt's  Electric  Disk 

1.00,  3.50,  3.50,  5.00 

ELECTRODES : 

Beard's,  with  Band 1.50 

Beard's,  with  Band  and  Cover  . . .  3.00 

Metallic  Brush 1.50 

Spinal 2.00 

Sponge-Holder 1.50 

Side  Sponge-Holder 1.75 

Piflfard's,  set 5.00 

Rectal,  non-insulated 1.50 

Insulated  Rectal 1.50 

Double  Rectal 2.50 

Intra-Uterine 3.50 

Uterine 1.50 

Duchenne's  Uterine 2.50 

Vaginal 1.75 

Intra-Uterine  Galvanic  Pessary. . .  1.50 

Hank's  Galvanic  Pessary 1.50 

Insulated  Catheter 1.35 

Duchenne's  Vesical  ....   2.50 

T.  &Co.'s,  set 11.00 

Nasal 1.50 

Beard's  Stationary 5.00 

Universal  Handle 3.00 

Duchenne's  Pointed,  pair 3.00 

Disks,  to  fit  handle  (Fig.  384)  .... 

.50  to  1.50 

Rockwell's  Brass  Ball 1.00 

Mackenzie's  Laryngeal 3.50 

Beard's  Current  Changer 10.00 

ELECTROLYSIS  CONDUCTORS. 

Murray's  Needle 1.25 

Rockwell's  Long  Needle 1.25 

T.  &  Co.'s  Hard  Rubber  Covered 

Needles 1.25 

Trocar-pointed  Needles  : 

Short 1.00 

Medium 1.25 

Large 1.50 

Platina  points 1.75,  2.00,  2.50 

Rockwell's  Needles,  set 5.50 

Beard's  Base  Needle 75 


FIG.  PART   I.  PRICE 

Galvano-Caustic  Batteries   and  Elec- 
trodes. 

395.  Dawson's  Battery .$60.00 

396.  Dawson's  Electrodes 35.00 

397.  Cautery  Sling ifj.OQ 

398.  Schrotcr's  Electrode 16.00 

No.  1.     Snare,  platina  wire 3.50 

No.  2.    Lancet 3.00 

No.  3.    Porcelain  Burner 3.50 

No.  4.    Knife 3.00 

No.  5.    Voltolinis  Knife 3.35 

No.  6.    Blunt  Cautery 3.00 

Aneesthotic  Instruments. 

ETHER  INHALERS  : 

399.  Lente's. 3.50 

400.  Squibb's 1..50 

401.  AUis' 4.00 

403.     Chisolm's 2.50 

403.  Cheatham's 8.50 

404.  Speir's,  George's 3.50 

405.  Morton's 5.00 

406.  Junker's    13.50 

LOCAL  ANESTHESIA. 

407.  Richardson's  Spray 5.50 

Antiseptic  Surgery  Instruments. 

408.  Hank's  Spray 15.00 

409.  Weir's  Spray 15.00 

410.  Heuel's  Spray 6.00 

411.  Little's  Spray 6.00 

412.  Safety  Tube-Cleaner .' 1.00 

Tube  and  Cleaner 2.50 

MATERIALS  FOR  THE  ANTISEPTIC  TREATMENT 
OP   WOUNDS. 

Lister's  Antiseptic  Gauze,  6  yds. . .  .90 
Lister's  Silk  Protective,  per  yd. . .     1.50 

Mcintosh  Cloth,  per  yd 1.50 

Oiled  Silk,  per  yd 1.50 

Lister's    Carbolized    Catgut,    per 

bottle 75 

Berated  Cotton,  per  pack 25 

Van  Brun's  Cotton,  per  pack 90 

Dennison's  Absorbent  Cotton,  per 

pack .30 

Animal  Ligature,  dry,  per  yd.  coil,      .25 

Operating-  Furniture. 

413.  Mcllroy's  Table 125.00 

414.  Knapp's  Oculist's  Chair 70.00 

415.  Mcllroy's  Speculum  Chair 70.00 

416.  Bozeman's  Chair 35.00 

417.  Foster's  Table 100.00 


Price  List. 

10  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarke. 


FIG.  PART  I.  PRICE 

Pocket  Medicine   Cases. 

418.  Fuller's,  style  1 |2.75 

Fuller's,  stjie  2 3.00 

Fuller  s,  style  3 3.50 

Fuller's,  style  4  . . , 5.00 

Minim  Pipette,  No.  1 50 

Minim  ]Measure,  No.  2 75 

Vial,  corked,  No.  3,  per  doz 35 

Vial,  corked,  No.  4,  per  doz 35 

Adhesive  Vial  Labels,  per  sheet  . .       .03 

419.  Medicine  Chest  : 

No.l 12.00 

No.2 15.00 

No.  3 18.00 

No.4 6.00 

Medical  Saddle  Bags. 

420.  With  16  Vials 9.00 

With  20  Vials 9.50 

With  24  Vials 10.50 

421.  With  16  Vials 6.00 

With  20  Vials 7.00 

With  24  Vials 8.00 

422.  With  16  Vials 6.00 

With  20  Vials 6.50 

With  24  Vials 7.50 


fig. 
423. 


424. 

425. 
426. 

427. 


428. 

429. 
430. 
431. 

432. 


PART  I.  PRICE 

Osteological. 

Skeleton,  1st  grade $60.00 

Skeleton,  2d  grade 50.00 

Skeleton,  3d  grade 40.00 

Skull,  plain 7.50 

Skull,  disarticulated $9.00  to  18.00 

Female  Pelvis,  with  ligaments. . . .  14.00 
Female  Pelvis,  without  ligaments,    9.00 

Foot,  on  strings 3.50 

Hand,  on  strings 3.50 

Brass  Screws 

Aspirators. 

Dieulaf oy's,  upright 40.00 

Dieulafoy's,  large 50.00 

Dieulaf  oy's,  Hospital 60.00 

Steurer's 35.00 

Emmett's 12.00 

Emmett's 16.00 

Peaslee's 8.00 

T.  &  Co.'s  Aspirator 16.00 

T.  &  Co.'s  Aspirator,  small 13.00 

Higgins'  Aspirator 25.00 

Codman's  Aspirator 15.00 

Fitch's  Handy  Aspirator 5.00 

Thermo-Cautery. 
Paquelin's 50.00 


[Part   II, 


FIG.  PART  II.  PRICE 

Eye  Instruments. 

FOR   THE   LIDS  AND  LACHRYMAL   DUCTS. 

1.  Cross-bar  Entropium  Forceps $2.25 

2.  Laurence's  Eye-lid  Tourniquet 3.00 

3.  T.  &  Co.'s  Entropium  Forceps 7.00 

4.  Snellen's  Entropium  Forceps 2.50 

5.  Desmarre's  Entropium  Forceps  . . .  3.00 
The  same,  with  shell  plate 3.00 

6.  Jaeger's  Plate  Lid  Holder,  of  hard 

rubber 1.00 

The  same,  of  tortoise  shell 2.00 

7.  Henry's  Depilator 2.50 

8.  Entropium  Forceps 7.00 

9.  Cilia  Forceps 1.00 

10.  Ratti's  1  richiasis  Forceps 3.00 

11.  Front's  Entropium  Forceps 4.00 

12.  Stokes'  Lid  Compressor 3.00 

13.  Knapp's  Entropium  Forceps 4.00 

14.  Galante's  Eye  Speculum 4.00 

lib.  Liebreich's  Eye  Speculum 2.50 

15.  Graef e's  Eye  Speculum 2.50 


FIG. 

16. 
17. 

18. 
19. 

20. 

20b. 

21. 

22. 

23. 

24. 

25. 


26. 

27. 
28. 
29. 
30. 


PART  II.  FRIGE 

Wire  Eye  Speculum $0.80 

Noyes'  Eye  Speculum,  gilt  5.00 

Noyes'  Eye  Speculum,  nickeled  . . .     4.50 

Noyes'  Plain  Speculum 1.75 

Liebold's  Eye  Speculum 2.50 

(CarrondeVillard's  Forceps,  Fig.  856.) 

Hart's  Eye  Speculum 1.50 

Wecker's  Lachrymal  Canula 1.30 

Desmarre's  Retractor 1.75 

Desmarre's  Retractor 1.75 

Weber's  Graduated  Dilator 1.00 

Speir's  Lachrymal  Catheter 1 .00 

Anel'sEye  Syringe,  silver,  silver  and 

gold  points,  in  case 12.00 

Anel's  Eye  Sj^'inge,  hard   rubber, 

silver  and  gold  points 5.00 

McFarlan's  Lachrymal  Syringe,  of 

hard  rubber,  with  silver  point  . .     3.50 

Drop  Glass,  for  the  Eye 20 

Liebold's  Subpalpebral  Syringe  . . .     1.50 

Agnew's  Lachrymal  Syringe 5.00 

Galezowsky's  Canalicula  Dilator  . .     2.50 


Price  List. 
67  CHATHAM  STREET,  NEW  YORK. 


11 


Branch  Stork, 


107  East  28Tir  St.,  N.Y. 


FIG.  PART   II.  PRICE 

30i.  Anel's  Silver  Probe $0.50 

31.     Bowman's  Director 75 

Bowman's  Silver  Probe,  No.  1,  2  .  .  .75 
Bowman's  Silver  Probe,  No.  3,  4  . .  .75 
Bowman's  Silver  Probe,  No.  5,  0  . .  .75 
Bowman's  Silver  Probe,  No.  7,  8  . .       .75 

Bowman's  Probe,  hard  rubber 50 

32a.  William's  Probe,  silver .75 

S2b.  William's  Probe,  silver 75 

32c.  William's  Dilator 1.00 

S2d.  William's  Style 50 

32e.  William's  Style 50 

33.  Levis' Probe 2.00 

386.  Noyes'  Conjuactiva  Forceps 3.00 

34.  Liebreicli's  Probe  and  Fistula  Knife    2.00 

35.  Manfredi's  Speculum 5.00 

355.  Test  Dram 75 

36.  Noyes'  Lachrymal  Gouge 2.50 

37.  Bow^man's  Knife 1.75 

38.  Gensoul's  Canula 3.00 

39.  Desmarre's  Scarificator 1.50 

40.  Manoir's  Scissors 1.50 

Manoir's  Scissors 2.00 

41 .  Stilling's  Canalicula  Knife 1.50 

42.  Weber's  Curved  Knife 1.75 

43.  Weber's  Half  Curved  Knife 1.75 

44.  Desmarre's  Cautery  Iron 3.00 

45.  Desmarre's  Many-pronged  Hook  . .  2.00 

46.  Noyes'  Movable  Canalicula  Knife. .  4.00 

47.  Noyes'  Plain  Canalicula  Knife  ....  1.75 

48.  Parker's  Fistula  Lachrymalis  Knife,  1.75 

49.  Jaeger's  Bistoury  Cache 8.00 

50.  Beaumont's  Concealed  Knife 8.00 

51.  Agnew's  Canalicula  Knife 1.75 

52.  Sands'  Needle  Forceps 4.50 

53.  Prout's  Needle  Forceps 3.50 

54.  Scalpel 1.50 

54&.  Scalpel 1.50 

54c.  Scalpel 1.50 

55.  Petit's  Fistula  Knife 2.00 

56.  Noyes' Stilling  Knife 1.75 

56b.  Greenslade's  Canalicula  Knife  ....     4.00 

57.  Silver  Style 50 

575.  Canulated  Style,  silver 75 

57c.  Lachrymal  Canula,  silver 50 

57d.  Hard  Rubber  Style 25 

Fine  Suture  Needles,  for  the  eye  . .       .15 
Suture  Silk,  china  bead,  per  skein .  .       .15 

58.  Girard  Teulon's  Instrument 8.00 

FOR   STRABISMUS.      (Ss.) 

59.  Straight  Ss.  Forceps 1.25 

60.  Curved  Ss.  Forceps 1.25 

61.  Strabometer,  ivory 2.25 

63.  Ss.  Tenaculum 1.25 


FKi.  PART    II.  PRICE 

The  same,  with  eye  iieai-  tlie  point.  .$1.25 

63.  Tenaculum 1.25 

64.  Ss.  Scissor.s,  curved  fluiwisf^ 1.50 

65.  Stout  Ss.  Forceps 1.25 

66.  Half  Curved  Ss.  Hook : 1 .25 

67.  Ss.  Double  Hook,  fixation 1.50 

68.  Angular  Ss.  Scissors 1 .50 

69.  Ss.  Hook-Bistoury 2.50 

Other  Bistouries,  delicate 1.50 

OPHTHALMOSCOPES. 

70.  Liebreich's 4.50 

Liebreich's,  extra  fine 7.50 

705.  Loring's  Student's  OphthalmoscoiA',  22.00 

71.  Loring's  Double  Disk 32.00 

715.  Loring's  Single  Disk 28.00 

Loring's,  plain 9.00 

72.  Dudley's 30.00 

735.  Knapp's  Double  Disk 35.00 

73c.  Knapp's  Metric  System 32.00 

74.  Knapp's  Single  Disk 20.00 

Allen's 3.50 

Nachet's 9.00 

TRIAL  GLASSES  AND   ACCESSORIES. 

75.  Pupillometer 5.00 

76.  Thompson's  Optometer 2.00 

77.  Nachet's  Trial  Set,  large 125.00 

Nachet's  Trial  Set,  small 75.00 

Trial  Glasses,  cylindrical,  spherical, 

and  prismatic,  in  sets. .  25.00  to  100.00 

775.  Ophthalmo-Phantome 5.00 

Ophthaimo-Phantome 10.00 

Ophthalmo-Phantome 25.00 

Stenopaic  Cylinders,  circular  per- 
foration       3.50 

Stenopaic  Cj'-linders,  slits .. .  1.00  to  3.00 

Graefe's  Optometer 20.00 

Eye  Goggles,  per  pair 1.50  to  3.00 

Eye  Shades 50  to  4.00 

Eye  Protectors,  plain  and  colored 

mica "75  to  1.50 

Eye  Protectors,  gauze  and  mica  ...     1.50 
Magnified  Preparation  of  the  Eye, 

in  papier-mache 45.00  to  60.09 

Artificial  Eye,  for  experimenting 
and  practicing  in  the  use  of  the 
ophthalmoscope 30.00 

FIXATION  INSTRUMENTS. 

78.  Ball's  Double  Hook COO 

79.  Double  Fixation  Hook 1.50 

80.  Carron  de  Villard's  Forceps 3.00 

805.  Tumor  Forceps 1-50 

80c.  Dudley's  Fixation  Forceps 3.00 

80d.  De  la  Roza's  Fixation  Forceps 2.00 


Price  List. 

12  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmann.  Edwakd  Pfarrb. 


FIG.                                    P.VRT  II.  PRICE 

80e.  Blitz's  Extirpation  Forceps $3.00 

80/.   Three-pointed  Ophthalmostate  ...  1.50 

81.  Noyes'  Fixation  Forceps 2.00 

82.  Pamard's  Pique 1.50 

■  83.    Jaeger's  Ophthalmostate 8.00 

84.  Noyes'  Ophthalmostate 2.00 

85.  Graefe's  Fixation  Forceps 2.00 

85b.  Carron  de  Villard's  Lid  Forceps. .  4.00 

FOR  REMOVING   FOREIGN   BODIES. 

86.  Dix'sSpud 1.25 

87.  Couching  Needle 1.25 

88.  Carron  de  Villard's  Needle 1.25 

89.  Angular  Needle 1.25 

90.  Gouge 1.50 

91.  Spatula,  German  silver 1.25 

Spatula,  hard  rubber 75 

92.  Daviel's  Curette 1.50 

93.  Hard  Rubber  Spoon 75 

94.  Knapp's  Foreign  Body  Hook 2.00 

Mb.  Pocket  Spud  and  Needle 2.50 

94c.   Pocket  Gouge  and  Spatula 2.50 

95.  Agnew's  Eye-Douche 3.50 

95b.  Stopcock,  hard  rubber 75 

95c.  Eye-Bath  Glass 50 

95a!.  Richardson's  Spray 5.50 

Plain  Hard  Rubber  Syringe 1.50 

(Eye  Syringes,  page  6,  Part  II.) 

CONJUNCTIVA   INSTRUMENTS. 

(Tumor  Forceps,  Fig.  80b.) 
(Double  Hooks,  Figs.  78,  79.) 
(Scalpels,  Fig.  54a,  b,  c.) 

96.  Scissors,  curved  tiatwise 1.50 

97.  Chadwick's  Scissors 6.00 

97&.  Knapp's  Caustic  Holder 1.00 

Silver  Caustic  Case 2.00 

Silver  and  Platina  Caustic  Case  . .  3.50 

Hard  Rubber  Spatula  (Fig.  91)  . . .  .75 

Silver  Spatula 1.25 

97c.   Child's  Brush  and  Caustic  Case  . .  2.50 

Camel's  Hair  Brush 05  to  .15 

CORNEA  AND  IRIS  INSTRUMENTS. 

97.  Chadwick's  Scissors 6.00 

98.  Desmarre's  Paracentesis  Trocar. .  1.75 

99.  Paracentesis  Needle 1.25 

100.  Paracentesis  Trocar 1.75 

101.  Paracentesis  Needle 1.25 

ARTIFICIAL    PUPIL     AND     CATARACT     INSTRU- 
MENTS. 

102.  Jaeger's  Straight  Keratoma 1.50 

103.  Jaeger's  Angular  Keratome 1.75 

104.  Agnew's  Iridectomy  Knife 1.75 


FIG.  PART  II.  PRICE 

105.  Welker's  Iridectomy  Instrument. $12.00 
105b.  De  la  Rosa's  Iris  Needle 1.75 

106.  Straight  Iris  Forceps 1.50 

107.  Tyrrell's  Sharp  Hook 1.25 

108.  Tyrrell's  Blunt  Hook 1.25 

109.  Althoff's  Iridectomy  Scissors 5.00 

110.  Curved  Iris  Scissors 1.50 

111.  Straight  Iris  Scissors 1.75 

112.  Graefe's  Angular  Forceps 1.75 

113.  Beer's  Cataract  Knife 1.50 

114.  The  same,  medium  size 1.50 

115.  The  same,  large. . , 1.50 

116.  Cystotome 1.50 

117.  Knapp's  Cystotome 1.75 

118.  Graefe's  Linear  Knife 1.50 

Liebreich's  Linear  Knife,  narrow.  1.50 

119.  Graefe's  Tractor 1.50 

120.  Graefe's  Lens  Scoop 1.75 

121.  Hard  Rubber  Spoon 75 

Hard  Rubber  and  Ivory  Spoon . . .  2.00 

122.  Critchet's  Hooked  Needle 1.25 

123.  Lazardi's  Hooked  Needle 1.50 

124.  Silver  Scoop  and  Cystotome 2.50 

125.  Fenestrated  Lens  Scoop 1.75 

125b.  Critchet's  Flat  Scoop 1.50 

125c.   Critchet's  Concave  Scoop 1.75 

126.  Strawbridge's  Cataract  Scissors  . .  6.00 

127.  Angular  Section  Bistoury 1.50 

1276.  Wecker's  Iridotomy  Scissors 8.00 

128.  Straight  Section  Knife 1.50 

1285.  Dudley's  Keratome  Scissors 10.00 

129.  Lanne's  Forceps  Needle 4.50 

1296.  Baader's  Linear  Knife,  right 2.00 

129c.  Baader's  Linear  Knife,  left 2.00 

130.  Liebreich's  Iris  Forceps 6.50 

131.  Walton's  Iris  Forceps 2.50 

132.  Hayes'  Knife  Needle 1.50 

133.  Iris  Knife 1.50 

134.  Iris  Knife,  with  stop 1.75 

135.  Sickle-shaped  Iris  Knife 1.75 

136.  Knife  Needle 1.50 

137.  Noyes'  Iris  Scissors 4.50 

138.  Wilde's  Canulated  Needle 12.00 

139.  Wilde's  Canulated  Set 15.00 

140.  Wilde's  Canulated  Forceps 12.00 

1406.  Lens  and  Foreign  Body  Forceps  .  3.00 

141.  Double-edged  Iris  Knife 2.00 

1416.  Hall's  Iris  Scissors 6.00 

141c.  Fischer's  Iris  Forceps 1.25 

142.  Bowman's  Stop  Needle 1.50 

143.  Beer's  Cataract  Needle 1.25 

144.  Straight  Cataract  Needle 1.25 

145.  Walton's  Depression  Needle 1.25 

146.  Levi's  Eyed  Needle 1.75 

147.  Walton's  Grooved  Needle 2.00 


Pkice  List. 
67  CHATHAM  STREET,  NEW  YORK. 


13 


Branch  Stoke, 


107  East  28th  St.,  N.  Y. 


FIG. 

148. 

149. 

150. 

150b. 

151. 

153. 


PART  II.  PRICE 

Tattoeing  Needle $1.75 

Baader's  Tattoeing  Needle 2.00 

Agnew's  Tattoeing  Needle 2.00 

Agnew's  Spring  Tattoe 4.50 

Blancliet',s  Cataract  Instrument  . .     2.25 
Bowman's  Cataract  Instrument  . .     4.50 


Ear  Instruments. 

153.  Ear  Piercer 1.50 

FOR  EXAMINATION   OP   THE   MEATUS. 

154.  Wilde's  Gorget 1.00 

155.  Troeltsch's  Mirror 3.00 

Troeltscli's  Mirror 4.00 

156.  Wilde's  Specula,  3,  silver 4.00 

Wilde's  Specula,  3,  plated 2.50 

Wilde's  Specula,  3,  hard  rubber. . .  1.50 

157.  Kramer's  Speculum,  steel 3.00 

Kramer's  Speculum,  plated 1.50 

158.  Brunton's  Otoscope 6.00 

159.  Bivalve  Speculum,  German  silver.  1.50 
Bivalve  Speculum,  German  silver.  2.00 

160.  Clark's  Otoscope 12.00 

161.  Knapp's  Specula,  3,  silver 4.50 

Knapp's  Specula,  3,  plated 3.00 

162.  Gruber's  Specula,  3,  rubber 1.50 

Gruber's  Specula,  1 50 

163.  Toynbee's  Specula,  3,  silver 4.50 

Toynbee's  Specula,  3,  plated 3.00 

164.  Simrock's  Otoscope 4.00 

165.  Speir's  Self -retaining  Speculum  . .  3.00 
1655.  Milikin's  Self-retaining  Speculum,  1.50 

166.  Hassenstein's  Otoscope 5.00 

FOR  MEMBRANA  TYMPANI,  &C. 

167.  Artificial  Tympanum 80 

168.  Gruber's  Polypus  Knife 1.50 

169.  Simrock's  Scissors 4.50 

170.  Politzer's  Angular  Perforator 1.00 

171.  Politzer's  Perforator,  straight  ....  1.00 
The  same,  vsdth  ivory  handle 1 .50 

172.  Politzer's  Eyelet  Forceps 1.50 

Politzer's  Eyelets 30 

FOR   THE  EUSTACHEAN   TUBES. 

173.  Bonafont's  Catheter  Holder 2.00 

174.  Pomeroy's  Catheter  Holder 3.50 

1745.  Wire  Nose  Clamp 1.00 

175.  Politzer's  Meatus  Knife 1.50 

176.  Eustachean  Catheter,  hard  rubber,  .75 
Eustachean  Catheter,  pure  silver  .  1.50 
Eustachean  Catheter,  coin  silver. .  1.25 
Eustachean  Catheter,  nickel-plated  .75 

177.  Gruber's  Tympanitome 3.00 

178.  Weber's  Tympanitome 8.00 

179.  Politzer's  Air  Bag 2.00  to  3.50 


FIG.  PART   II.  PRICE 

180.  Roosa's  Politzer  Bag,  rubber $3.50 

Roosa's  Politzer  Bag,  metal 4,50 

181.  Buttles'  Inlialer 2.50 

182.  Sexton's  Nozzle,  for  Politzer  Bag.     1.00 

183.  Fiillgraff's  Spray 6.00 

184.  Hackley's  Spray 6.50 

1845.  Ely's  Otoscope 7.00 

DIAGNOSTIC   INSTRU.MENTS. 

185.  Angular  Ear  Probe 75 

186.  Politzer's  Manometer 75 

187.  Toynbee's  Diagnostic  Tube 75 

188.  Siegle's  Aural  Speculum 4.00 

189.  Toynbee's  Explorer 75 

190.  Eustachean  Catheter,  rubber 75 

Eustachean  Catheter,  pure  silver  .  1.50 
Eustachean  Catheter,  coin  silver  .  1.25 
Eustachean  Catheter,  plated 75 

191.  Conversation  Tube 3.00  to  16.00 

192.  Tuning  Fork,  A 75 

Tuning  Fork,  G 1.50 

193.  Blake's  Inner  Ear  Mirror 8.00 

1935.  Gruber's  Scissors 4.00 

194.  Buck's  Ear  Instruments  : 

a.  Curette 38 

b.  Cotton  Holder 50 

c.  Silver  Probe 60 

d.  Mastoid  Knife 1.50 

e.  Port  Acid  Glass 15 

/.  Silver  Probe 75 

g.  Bistoury,' blunt 1.50 

It.  Maryngotome 1.00 

i.   Furuncle  Knife 1.50 

k.  Pointed  Bistoury 1.50 

FOR   REMOVING  FOREIGN  BODIES. 

194?.  Politzer's  Spoon 75 

195.  Allen's  Polypus  Forceps 4.50 

196.  Politzer's  Polj^pus  Forceps 2.50 

197.  Blake's  Polypus  Snare 3.50 

198.  Wilde's  Polypus  Snare 3.50 

199.  Bumstead's  Canulated  Forceps. . .  4.00 

200.  Elastic  Caustic  Holder 2.00 

201.  Speir's  Curette 1.25 

202.  Fenestrated  Ear  Scoop 1.50 

203.  Angular  Ear  Hook 1.50 

204.  Devils'  Screw  Hook 1.75 

2045.  Noyes'  Ear  Forceps 4.50 

205.  Elsberg's  Screw  Hook 2.00 

206.  Gross'  Spoon  and  Hook 75 

207.  Hinton's  Polypus  Forceps 4.00 

2075.  Hinton's  Polypus  Forceps,  double 

joint 4.50 

207c.  Pomeroy's  Ear  Forceps 2.50 

207d.  T.  &  Co.'s  Forceps  and  Reflector.     4.50 


Price  List. 


14  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


FIG.  part   II.  PRICE 

207<J.  T.  &  Co.'s  Universal  Ear  Forceps.  $5.00 

207/.  Avery's  Ear  Forceps 4.50 

207g.  Blake's  Inner  Ear  Syringe 4.50 

208.  Pus  Basin,  large,  hard  rubber 3.00 

Pus  Basin,  medium 2.50 

209.  Pus  Basin,  small 2-00 

Pus  Basin,  brass 3.00  to  4.00 

210.  Lucae's  Reflux  Douche 1.50 

2105.  Bonder's  Ear  Spout 75 

211.  Up  de  Graff's  Spout 1.50 

212.  Knapp's  Powder  Blower 1 .50 

2126.  Bag  Ear  Syringe 75 

213.  Kramer's  Ear  Syringe 1.50 

Same,  nickel-plated,  with  stop-cock  4.50 

214.  H.  R.  Ear  Syringe,  small 1.25 

H.  R.  Ear  Syringe,  large 2.50 

215.  Sexton's  Ear  Douche 6.00 

2156.  Hosner's  Ear  Spout 75 

215c.  Ear  Spout  and  Hose 1-00 

215d.  Buck's  Ear  Nozzle 75 

MASTOID   PROCESS  INSTRUMENTS. 

216.  Drill  Stock,  3  drills 7.00 

2166.  Buck's  Drills 3.00 

217.  Post's  Rongeur 3.00 

218.  Hand  Gouge 1-50 

2186.  Burnett's  Knife 1-50 

EAR  TRUMPETS. 

219.  Silver  Cornets,  per  pair 2.50 

2196.  Silver  Cornets,  per  pair 3.00 

219c.  Artificial  Tympanum 30 

220.  German  Silver  Ear  Trumpet 6.00 

221.  Bronzed  &  Japanned  Ear  Trumpet,    3.00 

222.  The  same 2.25,  3.00,  3.50,  4.00 

223.  The  same 4.00 

224.  The  same 3.25,3.00,3.50 

German  Silver  Ear  Trumpet 

3.50,  4.00,  4.50,  5.00 

225.  Dipper  Trumpet 4.50 

226.  Dipper  Trumpet 4.50 

227.  Dionysius'  Ear 8.00  to  16.00 

228.  Conversation  Tube,  plain 3.00 

Conversation  Tube,  silk 6.00 

Conversation  Tube,  ivory 8.00 

Conversation  Tube,  large,  ivory  . .  16.00 

229.  Auricles 5.00 

230.  Telescopic,  German  silver 4.50 

231.  Cane  Trumpet 6.00  to  25.00 

232.  Ear  Trumpet,  bronzed  &  japanned,  2.50 

The  same 3.00 

The  same 3.50 

Nasal  Instruments. 

233.  Robert  &,  Collins'  Nasal  Speculum, 

in  German  silver 3.50 


FIG.  PART  II.  PRICE 

Robert  &  Collins'  Nasal  Speculum, 

in  hard  rubber $2.50 

2336.  Goodwillie's  Nasal  Speculum  ....  1.00 

234.  Bivalve  Nasal  Speculum 2.00 

235.  Elsberg's  Nasal  Speculum 5.00 

236.  Steel  Nasal  Speculum 2.50 

237.  Fraenkel's  Nasal  Speculum 3.50 

238.  Folsom's  Nasal  Speculum 1.50 

239.  Tudichum's  Nasal  Speculum 1.25 

2396.  Rubber  Tampon 75 

239c.  Caro's  Nasal  Clamp 1.75 

239d.  Clark's  Nasal  Douche 1.50 

239e.  Zaufal's  Nasal  Specula,  set 3.00 

Zaufal's  Nasal  Specula,  each 1.00 

239/.  Posterior  Nares  Syringe 1.50 

239(7.  Bennett's  Syringe 5.50 

240.  Tudichum's  Douche 1.50 

2406.  Simrock's  Nasal  Speculum 1.50 

240c.  Bonafont's  Nasal  Speculum 2.50 

241.  Polypus  Forceps 2.00 

242.  Polypus  Forceps 2.25 

Polypus  Forceps,  plain 1.50 

243.  Gross'  Polypus  Forceps 2.25 

244.  Simrock's  Polypus  Forceps 2.75 

245.  Polypus  Canula 1.50 

Polypus  Canula,  silver 2.00 

246.  Belocq's  Canula 2.50 

Belocq's  Canula,  silver 3.00 

247.  Simrock's  Rhinoscope 8.00 

248.  Duplay's  Rhinoscope 8.00 

249.  Rhinoscopic  Mirror 1.25 

250.  Fiillgraflf's  Nasal  Douche 3.50 

Harelip  Instruments. 

251.  Buck's  Pin  Conductor 1.50 

Buck's  Pin  Conductor,  plain 1.00 

252.  Hutchison's  Harelip  Forceps 3.00 

253.  Prince's  Harelip  Clamp 3.00 

254.  Scalpel 75 

Scalpel • 1.00 

255.  Scalpel,  with  ferule 1.50 

256.  Angular  Scissors 1.50 

Angular  Scissors,  heavy 2.50 

257.  Hamilton's  Harelip  Scissors 2.25 

2576.  Plastic  Pins,  per  100 50 

257c.  Plastic  Pins,  movable  points,  each.  .50 

257(1.  Post's  Pin  Conductor 75 

258.  Smith's  Harelip  Forceps 6.00 

2586.  Parallel  Harelip  Forceps 9.00 

Specula  Oris. 

259.  Mussey's  Gag 7.00 

2596.  Goodwinie's  Gag 3.00 

259c.  Clover's  Gag B.50 

260.  Gross'  Speculum  Oris 5.00 


PuiCE  List. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  SSth  St.,  N.  Y. 


15 


FIG.  PART  IX.  PRICE 

2606.  Oral  Screw,  hard  rubber $1.00 

261.  Whitehead's  Gag 12.00 

2616.  Whitehead's  First  Gag 10.00 

262.  Heister's  Speculum  Oris 6.00 

263.  Westmoreland's  Speculum  Oris  .  .  6.00 

264.  Goodwillie's  Speculum  Oris 8.00 

Tongue  Holders. 

265.  Dobell's  Forceps 6.00 

2656.  Pocket  Tongue  Depressor 1.00 

266.  Hard  Rubber  Depressor 1.50 

267.  Elsberg's  Tongue  Depressor 4.50 

268.  Green's  Folding  Depressor 2.50 

Green's  Depressor,  plain 1 .50 

269.  Sass'  Tongue  Depressor  . .    3.50 

270.  Turk's  Depressor 4.50 

271.  Folding  Tongue  Depressor 1 .25 

Plain  Depressor,  steel 1 .00 

272.  Church's  Tongue  Depressor 6.50 

2726.  Cusco's  Tongue  Forceps 4.50 

Tonsil  and  Uvula  Instruments. 

278.    Tenaculum  Forceps 2.50 

2736.  Yearsley's  Tonsil  Knife 2.00 

274.  Musseux's  Forceps 2.50 

275.  Langenbeck's  Seizing  Forceps  . . .  3.00 

276.  Durham's  Seizing  Forceps 4.50 

277.  Tonsil  Hook 2.00 

278.  Billing's  Tonsilotome 12.00 

279.  Green's  Tonsil  Bistoury 2.00 

Green's  Tonsil  Bistoury,  with  fe- 
rule   2.25 

280.  T.  &  Co.'s  Uvulatome 9.00 

281.  Green's  Double  Hook 3.00 

Green's  Double  Hook,  plain 2.50 

282.  Vulsellum 2.25 

283.  Uvula  Scissors,  with  claws 5.50 

2836.  Mackenzie's  Tonsilotome,  handle 

and  one  blade 9.00 

Each  extra  blade 6.00 

284.  Tonsil  Scissors 4.50 

Tonsil  Scissors,  short 3.00 

285.  Hamilton's  Tonsilotome 15.00 

286.  T.  &  Co.'s  Tonsilotome 15.00 

Each  extra  blade 9.00 

287.  Fahnestock's  Tonsilotome 8.00 

288.  Mathieu's  Tonsilotome 12.00 

Buck's  Lancet  (Fig.  326) 2.50 

Graefe's  Forceps 1.50 

Mackenzie's  Cauterizer 8.00 

Staphylorrhaphy  and   TJraniscoplastic 
Instruments. 

289.  Whitehead's  Seizing  Forceps 4.50 

290.  Curved  Scissors 4.50 


FIG.  PART   ir.  PRICE 

291.  Whitehead's  Paring  Knife $1.50 

292.  Wliilehead's  Iloe 1.50 

293.  Sayre's  Periosteotome 2.00 

294.  Tenaculum 1.50 

295.  Whitehead's  Spiral  Needle 1.75 

296.  Whitehead's  Gum  Knife 1.50 

297.  Sims' Adjuster 1.-50 

2976.   Sims'  Twisting  Forceps 4.00 

298.  Luer's  Cheek  Retractor 2.00 

2986.  Right  Side  Retractor 1.50 

Left  Side  Retractor 1.50 

Langenbeck's  Instruments  (c  to  I)  -. 

298c.  Narrow  Double-edge  Knife 2.50 

298(^.  Wide  Double-edge  Knife 2..50 

298e.  Wide  Double-edge  Knife,  button  .  2.50 

298/  Single-edge  Knife 1.75 

298^?.  Single-edge  Knife 1.75 

298A.  Single-edge  Knife 2.00 

298*.   Tenaculum 1.50 

298^•.  Retractor 2.50 

298L   Suture  Holder 3.00 

299.  Staphylorrhaphy  Knife,  single  . . .  2.50 

300.  Staphylorrhaphy  Knife,  double  . .  2.50 

301.  Cheek  Retractor 3.00 

302.  Goodwillie's  Levator 2.00 

303.  Goodwillie's  Oral  Saw 3.50 

304.  Goodwillie's  Levator 2.00 

305.  Seizing  Forceps 2.50 

Langenbeck's  Raspatory 1.50 

Laryngoscopic   Instruments. 

306.  Roe's  Laryngoscope 45.00 

307.  Henry's  Bull's-eye  Laryngoscope.  9.00 

308.  Laryngoscopic  Mirror 1.25 

309.  Mirror  and  Head-Band 8.00 

310.  Mirror  and  Head-Band,  small 6.50 

311.  Tobold's  Laryngoscope 24.00 

Tobold's  Laryngoscope,  pocket. . .  15.00 

Student's  Lamp,  extra 6.00 

312.  Seeger's  Laryngoscope 34.00 

3126.  Schroetter's  Laryngoscope 8.00 

Schroetter's  Laryngoscope,  small.     6.50 

313.  Mackenzie's  Light  Concentrator. .     9.00 

314.  Elsberg's  Pocket  Laryngoscope  . .     6.00 

315.  Pocket  Illuminator 4.50 

3156.   Collin's  Lamp 7.00 

316.  Tobold's  Knife,  lanciform 1.50 

317.  Tobold's  Knife,  convex 1.50 

318.  Tobold's  Knife,  concave 1.50 

319.  Grant's  (Edema  Glottis  Instrument     1.50 

320.  Tobold's  Lancet 4.00 

321.  Haj^'ood  Smith's  Scissors 12.09 

322.  Mackenzie's  Three  Lancets 14.00 

3226.  The  same,  2  blades 12.00 


PuiCR  List. 


10  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfarre. 


FIG.  PART   II.  PRICE 

Laryngeal  and  CEsophageal  Instruments. 

323.  Mackenzie's    Laryngeal    Forceps, 

Scissors  and  Ecraseur $25.00 

324.  T.  &  Co.'s  Movable  Point  Scissors,  12.00 

325.  Schrcetter'sLancet  and  Forceps. .  15.00 

326.  Buck's  Throat  Lancet 2.50 

827.  Buck's  Throat  Forceps 3.00 

328.  Cusco's  Throat  Forceps 6.00 

329.  Simrock's  Larj'ngeal  Forceps 4.50 

330.  Braun's  Epiglottis  Forceps 4.50 

331.  Burge's  Throat  Forceps 4.50 

332.  Fauvel's  Polypus  Forceps 4.00 

333.  Mathieu's  Tliroat  Forceps 6.00 

334.  Schaffer's  Scoop 8.C0 

335.  T.  &  Co.'s  Scoop 6.00 

336.  Bristle  Probang 1.50 

Bristle  Probang 2.50 

337.  Probang  and  Bucket 3.00 

337b.  Dilators,  for  (Esophageal  Stricture,  4.00 

338.  Gibb's  Ecraseur 3.00 

3386.  Roe's  Uvula  Hook 2.50 

339.  California  Brush  Holder 2.00 

340.  Finger  Sponge  Holder 1.50 

341.  Granger's  Sponge  Holder 2.00 

342.  Buck's  Sponge  Holder 1.50 

343.  Childs'  Brush  and  Caustic  Holder,  2.50 

344.  Twelve  Brushes  and  Holder 2.00 

345.  Caustic  Carrier 2.50 

346.  Lente's  Probe. 1-25 

347.  Seeger's  Brush  Holder 2.50 

3476.  Ruppaner's  Brush  Holder 75 

348.  Elsberg's  Insufflator 2.00 

349.  Wagner's  Brush  Holder 2.50 

3496.  Noyes'  Brush  Holder 2.25 

350.  Powder  Blower 1.50 

351.  Clay's  Powder  Blower 2.00 

352.  Leflfert's  Powder  Blow^er 2.00 

3526.  The  same,  with  mouth-piece 1.75 

353.  Gibb's  Spray 3.00 

354.  Stork's  Drop  Tube 2.25 

355.  Tobold's  Syringe 2.50 

356.  Fullgraff's   Laryngo  -  Tracheal 

Douche 6.00 

357.  FlillgrafE's  Flat-Bill  Spray 6.00 

358.  Fullgraff's  Glass  Powder  Tubes, 

each 20 

359.  Fiillgi-aff's  Posterior  Nares  Douche  3.00 

Inhaling  Apparatus. 

360.  Bergson's  Steam  Atomizer 4.50 

361.  T.  &  Co.'s  Steam  Atomizer 5.00 

362.  Seeger's  Steam  Atomizer 12.00 

363.  Richardson's  Spray,  1  point 5.50 

Richardson's  Spray,  2  points 6.00 

364.  Sass'  Spray 6.00 


FIG.  PART  II.  PRICE 

3646.  Sass'    Spray,  with   Receiver   and 

Pump $35.00 

Sass'  Spray,  large  size 45.00 

364c.  T.  &  Co.'s  Universal  Syringe 10.00 

3QAd.  Warner's  Douche 1.75 

3Me.  Cliapman's  Spray,  3  points 6.50 

364/.  Ramage's  Inlialer 1.25 

304^.  Robinson's  Powder  Blower 3.00 

365.  Newman's  Atomizer 6.00 

366.  Hunter's  Inhaler 1.50 

367.  Jeffrey's  Respirator 3.00 

Jeffrey's  Respirator,  for  Mouth  and 

Nose 4.00 

The  same,  plain 2.50 

3676.  Roe's  Inhaler 2.00 

367c.  Schofield's  Inhaler 2.00 

367d.  Mackenzie's  Inhaler 6.00 

367e.  Croup  Kettle 5.00 

368.  Dobell's  Residual  Air  Pump  . 3.00 

3686.  Hot  Air  Bath 5.00 

Tracheotomy  Instruments. 

369.  Buck's  Tracheotomy  Guide 2.00 

3696.  Well's  Tracheotomy  Retractor  . . .  2.00 

369c.  Rose's  Tracheotomy  Retractor  ...  1.00 

370.  Langenbeck's  Double  Hook 3.00 

371.  Tracheotomy  Scalpel,bluntpointed  1.50 

372.  The  same,  sharp  pointed 1.50 

373.  T.  &  Co.'s  Tracheotome 3.50 

374.  Pitha's  Tracheotome 3.50 

375.  Tracheotomy  Blunt  Hook 1.50 

376.  Langenbeck's  Tracheotome 4.00 

3766.  Pilcher's  Retractor 2.00 

377.  Trousseaux's  Tracheotomy  Dilator  2.50 

378.  Delaborde's  Tracheotomy  Dilator.  5.00 
3786.  Tardieu's  Tracheotomy  Scissors . .  5.00 

379.  Chassaignac's  Tracheotomy  Dilator  3.00 
3796.  Finger  Protector 2.00 

380.  T.  &  Co.'s  Universal  Forceps 2.50 

381.  Silver  Trachea  Canula,  single 4.00 

3816.  Hank's  Tracheotome 9.00 

382.  Double  Trachea  Tube,  silver 7.00 

383.  Double  Trachea  Tube,  silver 6.00 

384.  Canula  Mop 75 

385.  Trachea  Canula,  hard  rubber 2.50 

386.  Gendron's  Canula,  silver 8.00 

387.  Trousseaux's  Canula  Forceps 3.50 

388.  T.  &  Co.'s  Tracheal  Forceps 4.50 

389.  Johnson's  Canula 10.00 

390.  T.  &  Co.'s  Tracheal  Aspirator 2.50 

391.  Trendelenburg's  Trachea  Tampon,  12.00 

Spirometers  and  Pneumatic  Apparatus. 

392.  Richardson's  Artificial  Respirator,  4.50 

393.  Waldenburg's  Apparatus 75.00 


Price  List. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28tii  St.,  N.  Y. 


37 


FIG.  PART  II.                               PRICE 

394.  Tobold's  Apparatus $05.00 

395.  Waldenburg's  Pneumatometer  . . .     8.00 

396.  Brown's  Spirometer 12.00 

397.  Fraenkel's  Apparatus 15.00 

398.  Barne's  Spirometer 12.00 

399.  Hutchinson's  Spirometer 32.00 

Stomach  Pumps  and  Tubes. 

400.  Lever  Stomach  Pump 16.00 


KIG. 

401. 
402. 
403. 
404. 


405. 
406. 


PART   II.  PRICE 

T.  &  Co.'s  Stomach  I\mip flO.OO 

Toswiir.s  Stomacli  Pump 3.50 

Paine's  Nasal  Feeding  Tube 1.00 

Funnelled  Feeding  Tube,  English,  1 .50 
Funnelled  Feeding  Tube,  Frencii .  1 .00 
T.&  Co.'s  VelvetEyeStomachTube     1.50 

Rectal  Feeding  Tul)e 1.50 

Masticator 8.00 

Masticator 12.00 


Fart    III. 


Instruments  for  the  Male  Urethra, 
Bladder  and  Genitals, 

PIG  Phymosis  Instruments.       price 

1.  Fisher's  Phymosis  Forceps $3.00 

Ricord's  Phymosis  Forceps 2.50 

2.  Roger's  Phymosis  Forceps 3.00 

3.  Henry's  Phymosis  Forceps 4.50 

4.  Probe  and  Spatula 1.00 

5.  Taylor's  Phymosis  Scissors 5.00 

6.  Hutchison's  Phymosis  Forceps 2.25 

7.  Scissors,  curved 1.50 

Urethral  Diagnosis  Instruments. 

8.  Weir's  Meatoscope 1.25 

8b.  Skene's  Folsom's  Speculum 1.50 

8c.  Otis'  Meatus  Dilator 1.50 

9.  Desormeaux's  Endoscope  . .  60.00,  125.00 

10.  Otis'  Endoscopic  Tube 1.50 

11.  Skene's  Urethral  Speculum 3.00 

lib.  Laveur's  Endoscope 20.00 

Skene's  Endoscope  (Fig.  59,  Supple- 
ment)       2.75 

Scales  and  Guages  for  Urethral.  Instru- 
ments. 

12.  Gouley's  Metrical  Guage 2.00 

13.  American  Scale,  steel 4.00 

American  Scale,  pasteboard gratis 

14.  Otis'  Metric  Scale 4.00 

Henderson's  Scale 6.00 

14c.  Spermatorrhoea  Ring 75 

Urethral  Sounds. 

15.  Conical  Sound,  nickeled 1.50 

Cylindrical  Sound,  nickeled 1.00 

Van  Buren's  Sound,  nickeled 1.50 

Gouley's  Sound,  nickeled 1.50 

Benique's  Sound 2.50 

Sound,  flexible  metal 50 

Benique's  Sound,  metal 1-00 


FIG.  PRICE 

16.     Straight  Sound,  nickeled $1.00 

Straight  Sound  Bougies,  nickeled. .     1.25 
Straight  Sound  Bougies,  metal 75 

Instruments  for  Exploring  Strictures  of 
the  Urethra. 

17/.  Bougie  a  Trois  Nceuds 1.25 

2.  Mallez's  Bougie  a  Boule 1.25 

J.  Dick's  Bougie  a  Boule 1.00 

4.  Bougie  Conique 75 

J.  Bougie  Olivaire : 75 

6.  Bougie  Conique  a  Ventre 1.25 

7.  Bougie  Olivaire  a  Ventre 1.25 

<?.  Olivary  Whalebone  Bougie 50 

9.  Filiform  Bougie .75 

10.  Mallez's  Insufilator 1.75 

//.  Mercier's  Elbow  Catheter 1.00 

12.  Mercier's  Sonde  Bicoudee 1.25 

(Other  Gum  Elastic  Bougies  in  end- 
less variety,  single  or  by  the  dozen, 
prices  according  to  quality.) 

18.  Glass  Meatoscope,  white 50 

Glass  Meatoscope,  silvered 75 

19.  Gouley's  Meatotome 3.00 

20.  Filiform  Bougie,  gum 75 

Filiform  Crain  de  Florence 75 

21.  Gouley's  Guide 50 

22.  Thompson's  Bougie 1.50 

23.  Bougie,  three  knots 1.25 

2db.  Bell'^s  Ball  Probe 1.25 

23c.  Bougie  a  Boule 1.00 

24.  Gouley's  Tunnelled  Sound 2.50 

25.  Otis'  Bougie  a  Boule  (No.  8  to  No. 

40)  each 50 

Catheters. 

Squire's  Vertebrated  Catheter 6.00 

26.  Caro's  Vertebrated  Catheter 7.00 

27.  Bumstead's  Retention  Catheter. . . .  4.00 


Price  List. 

18  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarbe. 


FIG.  part  III.  PRICE 

28.  Cowan's  Yertebrated  Catheter $8.50 

29.  Silver  Prostatic  Catheter  . . .  2.25  to  3.50 
Virgin  Silver  Catheter 3.50  to  5.00 

30.  Olivary  Gum  Catheter 85 

31.  Thonipsou's  Retention  Catheter  . . .     3.00 

32.  Holt's  Self-retaining  Catheter 1.50 

33.  Holt's  Self-retaining  Catheter 1.50 

34.  Dowse's  Self -retaining  Catheter  . . .     1.50 

35.  Hutchinson's  Prostatic  Catheter. . . 

3.00  to  4.00 
3G.     Oti.s' Prostatic  Guide 1.00 

37.  Mercier's  Bicoudee  Catheter 1.25 

38.  Holt's  Self -retaining  Catheter 1.50 

39.  Mercier's  Elbowed  Catheter 1.00 

3%.  Keye's  Catheter  Guide 75 

40.  Nelaton's  Catheter,  soft  rubber 50 

Jaques'  Catheter,  soft  rubber 75 

T.  &  Co.'s  Patent  Velvet  Eye  Ca- 
theter   75 

41.  Thompson's  Rubber  Catheter 2.00 

42.  Teevau's  Tunnelled   Catheter  and 

Guide 3.00 

43.  Thompson's  Prostate    Sound    and 

Tube 10.00 

44.  Harrison's  Pessary  Catheter 4.00 

445.  Huter's  Flat  Catheter 2.00 

44c.  Gross'  Flexible  Catheter 2.00 

45.  Parker's  Compound  Catheter,  silver,    4.50 
Parker's  Compound  Catheter,  plated    2.50 

46.  Catheter  Holder 50 

47.  Compound  Catheter,  silver 2.50 

Compound  Catheter,  plated 1.50 

TJrethral  Syringes  and.  Applicators. 

48.  Long  Pipe  Urethral  Sj^ringe,  hard 

rubber 1.25 

49.  Lallemand's  Port-Caustique,  silver.  4.50 

50.  Bumstead's  Syringe 2.50 

51.  Ointment  Bougie 2.00 

52.  Bigelow's  Catheter  Syringe 6.00 

53.  Van  Buren's  Cupped  Sound 2.00 

54.  Dick's  Caustic  Syringe 3.50 

55.  Buttle's  Syringe 5.00 

56.  Otis'  Syringe  Nozzle 1.50 

57.  Taylor's  SjTinge 4.00 

58.  Otis'  Catheter  Syringe 4.50 

59.  Wheelock's  Syringe 1.25 

60.  Bumstead's  P.  P.  Syringe 75 

61.  Parker's  Catheter  Syringe 3.50 

62.  Sigismund's  P.  P.  Syringe 1.50 

63.  Hard  Rubber  P.  P.  Syringe 75 

Urethral  Stricture  Divulsors  and 
Dilators. 

64.  Thompson's  Divulsor 12.00 

65.  Steam's  Dilator 5.00 


FIG.  part  III.  ,    PRICE 

66.  Holt's  Divulsors,  in  case |18.00 

The  same,  Bumstead's  modification  20.00 

67.  Gouley's  Divulsor ♦. .   12.00 

Gouley's  Divulsor,  in  case 14.00 

68.  Minor's  Dilators,  set  of  4  filiform 

Bougies  and  2  Canulas 3.50 

69.  Burge's  Straight  Dilator 10.00 

70.  Corradi's  Dilator 12.00 

71.  Gouley's  Over-Distender 12.00 

72.  Burge's  Curved  Dilator 10.00 

73.  Voillemier's  Dilators 20.00 

Voillemier's  Dilators,  in  case 22.00 

74.  Bumstead's  Holt  Dilators 18.00 

Bumstead's  Holt  Dilators,  in  case.  20.00 

75.  Thebeaud's  Dilator '  10.00 

Internal  Uretlirotomy  Instruments. 

76.  Civiale's  Bistoury  Cache 6.00 

77.  Gouley's  Tunnelled  Urethrotome.     5.00 

78.  Peter's  Urethrotome 6.00 

79.  Mastin's  Urethrotome 14.00 

80.  Gross'  Urethrotome 6.00 

81.  Otis'  Dilating  Urethrotome,  No.  1 .  30.00 

82.  Otis' Dilating  Urethrotome,  No.  2.  30.00 

83.  Voillemier's  Urethrotome 1,6.00 

84.  Civiale's  Urethrotome 12.00 

85.  Trelat's  Urethrotome 16.00 

86.  Bumstead's  Maisonneuve 14.00 

The  same,  cutting  inside. ....  14.00 

87.  Charriere's  Stricture  Cutter 12.00 

88.  Mastin's  Stricture  Cutter 8.00 

89.  Gouley's  Improved  Tunnelled  Ure- 

throtome    12.00 

90.  Gouley's  Dilating  Urethrotome .. .  15.00 

91.  Geo.  K.  Smith's  Urethrotome 25.00 

92.  Otis' Dilating  Urethrotome,  No.  4.  30.00 

93.  Otis'  Dilating  Urethrotome,  No.  3.  30.00 

94.  Otis'  Urethrameter 18.00 

95.  Bumstead's  Urethrotome 50.00 

96.  Whitehead's  Staff  and  Knife 12.00 

97.  Otis'  Bulbous  Urethrotome 12.00 

98.  Westmoreland's  Stricture  Instru- 

ment    12.00 

99.  Whitehead's  Urethrotome 15.00 

100.  Teevan's  Stricture  Cutter 12.00 

External  Urethrotomy  Instruments. 

101.  Gouley's  Staff  Catheter. . . .  2.50  to  3.00 

101&.  Gouley's  Whalebone  Guide 50 

101c.  Gouley's  Director,  silver 1.50 

101(7.  Gouley's  Beaked  Bistoury 1.50 

lOle.  Gouley's  Tenaculum 1.50 

102.  Hewitt's  Staff  and  Knife 4.00 

103.  Syme's  Staff 2.00 

104.  Buck's  Staff 3.00 


PiucE  List. 

67  CHATHAM  STREET,  NEW  YORK.  19 

Branch  Store,  107  East  SStii  St.,  N.Y. 


FIG.  PART    III.  rUK'E 

Instruments   for   Tapi^ing   the    Bladder. 

105.  Rectum  Trocar $2,50 

Rectum  Trocar,  ivcjry  and  silver.  .  4.00 

106.  Buck's  Rectum  Trocar ^.50 

107.  Van  Buren's  Double  Tu))c P>.00 

108.  Dieulafoy's  Aspirator 40.00 

Dieulafoy's  Aspirator 50.00 

The  same,  camion  shape 60.00 

Instruments  for  Stone  in  the  Bladder. 


109. 
110. 
111. 

112. 
lis. 
114. 

115. 


116. 
117. 
118. 

119. 

120. 
121. 
122. 
123. 
124. 
125. 
126. 
127. 
128. 
129. 


SEARCHERS. 

Steel  Sound,  cylindrical 1.00 

Gouley's  Searcher 2.00 

Little's  Searclier 3.50 

Little's  Searcher,  plain 2.00 

Andrew's  Searcher 2.50 

Otis'  Exploriiig  Sound 5.50 

Bilroth's  Sounding  Board 1.50 

Steel  Sound 1.00  to  1.50 

Thompson's  Searcher 4.00 

FOR   LITHOTRITY. 

Handle  of  Teevan's  Lithotrite. . . . 
Handle  of  Thompson's  Lithotrite . 
Female  Blade  of  Thompson's  Li- 
thotrite   

Male  Blade  of  Thompson's  Litho- 
trite   

Jaws  of  Lithotrite 

Jaws  of  Lithotrite 

Heurteloup's  Lithotrite 25.00 

Ferguson's  Lithotrite 35.00 

Hunter's  Trilabe 15.00,  20.00  30.00 

Jacobson's  Lithotrite 30.00 

Reliquet's  Lithotrite  .  .  9.00,  12.00,  15.00 

Thompson's  Lithotrite 35.00 

Teevan's  Lithotrite 30.00 

Civiale's  Lithotriptor 25.00 


FOR   LITHOLAPAXY. 

1295.  Bigelow's  Lithotrite 40.00 

129c.  Bigelow's  Evacuator 12.00 

129d  Bigelow's  Evacuator  and  Stand  . .  16.00 

FOR  LITHOTOMY. 

130.  Pritchard's  Anklets  and  Wristlets. 

6.00  to  8.00 

131.  Little's  Staff 2.00 

132.  Markoe's  Staff 2.00 

133.  Wood's  Staff 2.00 

Wood's  Bisector 4.50 

134.  Steel  Staff 2.00 

185.    Little's  Director 1.50 

136.  Lithotomy  Forceps,  straight 3.00 

137.  Teevan's  Forceps 3.00 

138.  Maisonneuve's  Crusher 20.00 


FIG.  I'AKT    III.  PRICE 

139.  Blunt  Gorget $2..50 

140.  ('urved  Litliotomy  Forceps 3.00 

141 .  Dolbeau's  Lithoclast 7.00 

142.  Dolbeau's  Guide 3.50 

143.  Scoop  and  Conduct  oi- 2.50 

144.  Sharp-pointed  Scalpel 1.75 

145.  Probe-pointed  Scalpel 1.75 

146.  Depuytren's  Scalpel 1.75 

147.  Blizard's  Knife  (American) ,  1.75 

148.  Blizard's  Knife  (English) 2.00 

149.  Dowell's  Gorget  and  Staff 5.50 

149&.  Little's  Bistoury 2.00 

149c.  N.  R.  Smith's  Lithotomc 12.00 

UM.  Rectangular  Staff ■  2.50 

149c.  Luer's  Scoop 2.50 

149/.  Bush's  Gorget 4.50 

149^^,  Lithotomy  Forceps 3.00 

150.  Brigg's  Lithotome 7.00 

1505.  Physick's  Gorget 6.50 

150c.  Hutchison's  Lithotome 7.50 

151.  Depuj^ren's  Bistoury  Cache 24.00 

FOR   SUPRA-PUBIC   LITHOTOMY. 

152.  Hooked  Gorget 3.00 

153.  Sonde  a  Dart 3.50 

154.  Keith's  Tenaculum 1.25 

155.  Aponeurotome 2.0') 

156.  Gross'  Artery  Compressor 3.50 

156.  Little's  Lithotrity  Forceps.  .  3.50  to  3.00 

FOR  PERINEAL   LITHOTRITY. 

157.  Dolbeau's  Dilator 24.00 

1575.  Duplay's  Dilator 45.00 

157c.  Gouley's  Hydro-Htemostat 2.50 

158.  Gouley's  Lithoclast 10.00 

1585.  Gouley's  Lithoclast,  plain 6.00 

FOR   CLEARING  THE  BLADDER  OF   DEBRIS. 

159.  Nelaton's  Evacuating  Apparatus  .  30.00 

160.  Thompson's  Measure 12.00 

161.  Van  Buren's  Debris  Syringe 3.50 

163.     Canula  a  Chemise l.oO 

163.  Glover's  Evacuating  Apparatus  .  .  14.00 

164.  Debris  Tul^e 3.50 

165.  Mason's  Catheter  Staff 5.00 

166.  Van  Buren's  Evacuating  Catheter 

and  Bag 7.00 

167.  Double  Current  Catheter,  silver  . .  5.00 

168.  Nott's  Double  Current  Catheter  .  .  4.00 

169.  Thompson's  Urethral  Forceps 2.00 

170.  Alligator  Urethral  Forceps 6.00 

171.  Alligator  Urethral  Forceps 5.50 

173.    Leroyd'Etiolle's  Scoop..  12.00  to  15.00 

173.    Reliciuet's  Stone  Crusher,  12.00  to  15.00 


Price  List. 

20  GEO.  TIEMANN  &  CO'.S  SURGICAL  IiNTSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


FIG.  tart  III.  PRICE 

Scrotal  Instruments. 

17-4.    Henry's  Depilating  Forceps 2.50 

175.  Lewis'  Varicocele  Clamps 4.00 

176.  Henry's  Scrotal  Clamps 8.00 

177.  Set  4  Trocars 6.00 

178.  Rubber  Bag,  Hydrocele 3.50 

179.  Miliauo's  Suspensory 2.00 

Trocars. 
179J.  'Wood's  Trocar 5.00 

Harris'  Trocar 5.00 

179c.  Trocar  and  Cauula 1 .50 

(See  Figs.  1815,  c.) 

180.  Urinals  for  Incontinence. 
(See  Figs.  47,  48,  49,  50,  page  20, 

Part  IV.) 

Fumigation  Apparatus. 

181.  Lee's  Lamp 3.50 

Bumstead's  Lamp 3.50 

181^^.  (Little's  Trocar) 2.00 

181c.  (Folker's  Trocar)  2.50 

182.  Van  Buren's  Lamp 1.50  to  2.50 

183.  Maurj^'s  Apparatus 12.00 

For   Injecting  the   Bladder. 

184.  Keye's  Bladder  Washer 5.00 

Gynaecological  Instruments. 

185.  Gynaecological  Bag 

186.  Obstetrical  Bag 

Specula  Vaginae. 

187.  Weber's 7.00 

1875.  Fryer's 

187c.  Grave's 6.00 

187d.  Jenk's 8.00 

187e.  Hornby's 9.00 

188.  Ferguson's,  Tubular,  glass 50 

Ferguson's,  English 1.50 

Ferguson's,  hard  rubber 1.00 

189.  Blakeley's,  Resilient 3.00 

190.  Meadow's,  Trivalve 10.00 

191.  Meadow's,  Quadrivalve 12.00 

192.  (Buttle's  Case) 23.00 

193.  Nelson's 6.00 

194.  Thomas'  Cusco's 5.00 

195.  Emmett's 20.00 

196.  Segala's 8.00 

197.  Woodward's 6.00 

198.  (Gardner's  Case) 46.00 

199.  Nott's,  with  chain 8.00 

200.  Thomas',  Tubular 3.00 

201.  Thomas',  Telescopic 5.00 

802.    Bozeman's 12.00 


fig. 

203. 

204. 

2045. 

205. 

206. 

207. 

208. 

209. 

2095. 

210. 

211. 

212. 

213. 

314. 

215. 

216. 

217. 

218. 

219. 

220. 

221. 

222. 

223. 

224. 

225. 

226. 

227. 

228. 

229. 

230. 

231. 

2315. 

231c. 

232. 

233. 

234. 

235. 

236. 

237. 


238. 

239. 

240. 

241. 

242. 

2425. 

243. 

244. 

245. 

246. 

247. 


part  III.  price 

Nott's,  plain 5.00 

French's  ..................  .k.  . .     1.50 

(Emmett's  Tenacula) 1.25 

Storer's 5.00 

Hunter's 6.00 

Storer's  Sims' 5.00 

Brewer's 6.00 

Brewer's  Sims' 6.00 

(Skene's  Reflux  Catheter)  ... .     2.50 

T.  &  Co.'s,  Quadrivalve 10.00 

Dickens' 9.00 

Thomas'  Latest 20.00 

Steel  Bivalve 6.50 

Byrne's 11.00 

Wackerhagen's ....  12.00 

Thomas' 10.50 

Thomas'  Sims' 10.50 

Ferguson's  Mirror. .50 

Stohlmann's 8.00 

Dawson's  Sims' 7.00 

Bozeman's  Duck  Bill 3.50 

Ashton's  Fenestrated 1.00 

Dome  Top 75 

Greensville  Dowell's 1.50 

T.  &  Co.'s  Trivalve,  steel 12.00 

Weiss' 16.00 

Sims'  Duck  Bill 2.50 

Bath 3.00 

Baxter's 5.50 

Sims'  Bivalve 5.50 

Howard's 7.00 

(Turner's  Applicator) , 1.50 

(Skene's  Instillation  Tube) 50 

Schlotterbeck's  Speculum 10.00 

Ball's 11.00 

Barnes'  Neugebauer's 2.50 

Labia,  wire 2.00 

Sims'  Vaginal  Dilator,  glass 50 

Bivalve  Speculum 6.00 

For  Vesico-Vaginal  Fistula. 

Dawson's  Sims'  Speculum 5.00 

Sims'  Wire  Adjuster 1.50 

Sims'  Pulley 1.25 

Sims'  Blunt  Hook 1.25 

Sims'  Speculum 2.50 

Skene's  Probe  and  Knife 75 

Sponge  Holder,  German  silver  ...  1.00 

Sponge  Holder,  iron 75 

Bozeman's  Button  Adjuster 2.25 

Bozeman's  Depressor 2.75 

Sims'  Sigmoid  Catheter,  metal  ...       .75 

The  same,  hard  rubber 1.00 

The  same,  plated 1.50 

The  same,  silver 2.00 


Pkice  Liht. 


67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  28Tir  St.,  N.  Y. 


21 


FIG.  PART  III.  PRICE 

248.  Sims'  Depressor 1.50 

249.  Bozeman's  Wire  Adjuster ....  2.00 

250.  Bozeman's  Tenaculum 1.50 

251.  Bozeman's  Blunt  Hook 1.50 

252.  Bozeman's  Angular  Scalpel 1.75 

253.  Bozeman's  Straight  Scalpel 1.75 

254.  Nott's  Depressor 1.50 

255.  Sims'  Scalpel 1.50 

256.  Sims'  Tenaculum 1.25 

257.  Sims'  Seizing  Forceps 4.00 

258.  Nott's  Twisting  Forceps 4.00 

259.  Sponge  or  Seizing  Forceps 3.00 

Vesico-Vaginal  Fistula  and  Uterine 
Scissors. 

260.  Bozeman's  Angular 4.50 

•361.    Bozeman's  Curved 4.50 

262.     Sims'  Curved 3.50  to  4.50 

203.    Emmett's  Curved 4.50 

264.  Sims'  Straight 3.50 

265.  Emmett's  Double  Curved 4.50 

266.  Haywood  Smith's 12.00 

267.  Bozeman's  Double  Curved 4.50 

2676.  (Jenk's  Uterine  Probe) 1.75 

Bozeman's  Buttons  and  Needles. 

268.  Bozeman's  Button,  silver 1.00 

269.  Bozeman's  Button,  metal 50 

270.  Twisting  Forceps 4.00 

Scissors,  for  cutting  wire  .  .  2.50  to  4.50 

271.  Bozeman's  Buttons 

272.  Bozeman's  Needle  Carrier 8.00 

273.  Bozeman's  Button  Shaper 3.50 

374.     Sims'  Needle  Forceps    2.50 

Bozeman's  Needle. 25 

Sims'  Needle .12 

Emmett's  Needle 12 

Uterine   Probes,  Sounds,  and    Dressing 
Instruments. 

275.  Thomas'  Hard  Rubber  Probe  ....     1.25 

276.  Silver  Uterine  Probe 1.25 

277.  Sponge  Tent  Expeller 75 

278.  Emmett's  Applicator 1.75 

279.  Thomas'  Elastic  Probe 1.25 

280.  Silver  Uterine  Probe 1.25 

AUuminium  Probe 1.25 

381.    Leaden  Probe 40 

282.    Chapman's  Probe  and  Sound 4.00 

383.    Nott's  Set  of  Uterine  Instruments  : 

1.  Needle  Holder 4.50 

2.  Applicator  and  Expeller 1.00 

J.  Sponge  Holder. 1.25 

4.  Leaden  Sound 40 

J-.  Scarifying  Knife 1.00 


FIG.  PART  Iir.  PRICE 

6.  Simpson's  Sound 1.00 

7.  Uterine  Probe,  silver 1.00 

284.  Whalebone  Probe 50 

285.  Bozeman's  Dressing  Forceps 3.00 

286.  Sims'  Caustic  Forceps 4.00 

287.  Uterine  Dressing  Forceps 2.00 

288.  Curved  Uterine  Knife 1.50 

289.  Newman's  Metrorganon 3.00 

290.  Whalebone  Probang 25 

291.  Uterine  Knife 1.50 

293.    Probe  Uterine  Knife 1.50 

293.  Gardner's  Caustic  Holder 2.50 

294.  Sims'  Curette,  blunt ]  .50 

Sims'  Curette,  sharp 1.75 

295.  Siemon's  Curette 2.50 

296.  Buttle's  Scarifyer  and  Tenaculum,  2.50 

297.  Edward's  Caustic  Holder 3.00 

298.  Gardner's  Caustic  Forceps 3.00 

299.  Siemon's  Curette 2.50 

Uterine  Sounds  and  Elevators. 

300.  Sim.s'  Uterine  Elevator,  No.  1 6.00 

301.  Gardner's  Manifold  Instrument  . .  12.00 

302.  Emmett's  Uterine  Elevator 4.50 

303.  Simpson's  Sound,  graduated 1.50 

Simpson's  Sound,  plain 1.25 

304.  Stowe's  Elevator 4.50 

305.  Guernsey's  Uterine  Elevator 1.50 

306.  Skene's  Uterine  Sound 6.00 

307.  Noeggerath's  Uterine  Elevator  . . .  9.00 

308.  Sponge  Tent  Expeller 75 

309.  Lente's  Platina  Cup 3.50 

310.  Lente's  Caustic  Probe 1.75 

311.  Sliding  Uterine  Sound 3.00 

312.  Hunter's  Uterine  Sound 1.25 

313.  Gidding's  Uterine  Sound 2.00 

314.  Folding  Uterine  Sound 2.50 

315.  Elliott's  Uterine  Sound 7.00 

316.  Sims'  Redressor,  No.  2 6.00 

Uterine  Dilators. 

317.  Sims'  Uterine  Dilator 12.00 

3176.  Wackerhagen's  Applicator 08 

318.  Barnes'  Dilators 6.00 

319.  Sponge  Tents,  per  doz 1.50 

Seatangle  Tents,  per  doz 2.00 

Tupelo  Tents,  per  doz 2.00 

320.  Simpson's  Dilators 9.00 

321.  Hank's  Uterine  Dilators 1.00 

332.     Chamber's  Stem-Pessary 3.00 

3226.  Peaslee's  Uterine  Dilators 6.50 

323.     Climax  Uterine  Dilator 15.00 

3336.  Emmett's  Uterine  Dilator 3.00 

334.  Thomas'  Dilating  Forceps 3.50 

335.  Ball's  Uterine  Dilator 10.00 


Price  List. 

GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 
F.  A.  Stohlmann.  Edward  Ppahke. 


FIG.  PART   III.  PRICE 

837.    Wylie's    Cervical    Speculum   and 

Wylie's  Probe 3.50 

327/^  Alice's  Uterine  Dilator 2.75 

328.  T.  &  Co.'s  Uterine  Speculum 7.00 

329.  Jenk's  Uterine  Sound 3.50 

330.  Ellinger's  Uterine  Dilator 10.00 

331.  Miller's  Uterine  Dilator 10.00 

332.  Palmer's  Uterine  Dilator 5.00 

332;*.  Hunter's  Uterine  Dilator 14.00 

333.  Nott's  Uterine  Dilator 3.50 

334.  White's  Uterine  Dilator 4.50 

335.  Thomas'  Uterine  Dilator 5.00 

336.  Simpson's  L^terine  Dilator 4.50 

337.  Vanderveer's  L^terine  Dilator 5.50 

For  Division   of  the    Os    Uteri  and  for 
Scarifying. 

338.  Chapman's  Uterine  Scarificator  . .  2.50 

339.  Buttle's  Uterine  Scarificator 1.25 

340.  White's  Hysterotome 12.00 

341.  Stohlmann's  Hj^sterotome 7.00 

342.  Sims'  Rotating  Knife 4.50 

343.  Storer's  Uterine  Scarificator 6.00 

344.  Simpson's  Hysterotome 7.00 

345.  Emmett's  Uterine  Knife 5.00 

346.  Skene's  Sound  and  Scarificator. . .  6.00 

347.  Laenneck's  Uterine  Knives,  each .  .  2.50 

348.  Chapman's  Scarificator 1.50 

349.  Amputating  Scissors 7.00 

350.  Clark's  Toothed  Scissors 6.00 

351.  Thomas'  Punching  Forceps 6.00 

352.  Peaslee's  Uterotome 4.50 

Peaslee's  Uterotome,  2  blades  ....  6.50 

353.  Ktichenmeister's  Scissors 6.00 

354.  Sims'  Knives  and  Holder 10.00 

355.  Thomas'  Dry  Cupper 1.50 

For  Injection  of  the  Vagina  and  Uterine 
Cavity. 

356.  Lente's  Ointment  Syringe 3.50 

357.  Barker's  Ointment  Bougie 1.50 

358.  Long  Pipe  Uterine  Syringe 1.25 

359.  Nott's  Double  Catheter,  long 4.00 

Nott's  Double  Catheter,  short 3.00 

360.  Hutchinson's  Ointment  Syringe,  in 

case 11.00 

361.  Davidson's  Sjalnge,  No.  1 2.00 

Davidson's  Sp-inge,  No.  2 1.50 

362.  Syphon  Syringe 3.00 

363.  Byrne's  Reflux  Catheter 2.50 

Byi-ne's  Adjuster  2.00 

364.  Reliquet's  Double  Catheter 2.00 

365.  Lallemand's  Port  Caustic 4.50 

366.  Parker's  Caustic  Syringe 3.50 

367.  Bodeuhamer's  Irrigator 3.00 

368.  Lente's  Ointment  Syringe 6.50 


FIG.  PART  III.  PRICE 

Lente's  Ointment  Syringe,  in  case .     8.00 

369.  Braun's  Uterine  Syringe 2.50 

370.  Lawson's  Applicator 4.00 

371.  Nott's  Uterine  Syringe 2.50 

372.  Nott's  Applicator 5.00 

373.  Dick's  Caustic  Syringe 3.50 

374.  Maw's  Enema  Pump 3.50 

375.  Woodward's  Syphon  Douche  ....     2.50 

376.  Clay's  Insufflator 2.25 

377.  T.  &  Co.'s  Universal  Syringe 11.00 

Rubber  Bag  Syringe 2.00  to  3.50 

French  Irrigateurs 6.00  to  10.00 

For  Displacements   of  the   Uterus. 

378.  White's  Uterine  Repositor 5.00 

(See  also  Figs.  300  to  316.) 

Pessaries. 

379.  Hornby's 6.00 

380.  T.  &  Co.'s  Supporter 6.00 

381.  Babcock's  Pessary 15.00 

382.  Davie's 8.00 

383.  Cutter's,  with  Belt 2.50 

384.  Rozer's 8.00 

385.  Thomas'  Anteversion 1.25 

386.  Thomas'  Retroversion 1.00 

387.  Smith's 50 

388.  Thomas'  Anteversion 1.25 

389.  Thomas'  Cutter's 1.50 

Thomas'  Cutter's,  with  Belt 2.50 

390.  Thomas'  Cutter's,  with  Belt 2.50 

391.  Smith's 50 

392.  Chamberlain's 1.25 

393.  Buttle's 75 

394.  Noeggerath's 2.00 

395.  Emmett's  Metal  Ring 40 

396.  Grajdy  Hewit's 1.25 

397.  Sleigh 75 

398.  Frazer's 4.00 

399.  Hoffman's 1.50 

400.  Zwank's 2.50 

401.  Buttle's 75 

402.  Hank's 1.50 

403.  Buttle's 75 

404.  Globe,  silver 8.00  to  10.00 

Globe,  hard  rubber 1.00 

405.  Kinloch's  Retroflexion 1.25 

406.  Kinloch's,  for  Prolapsus  of  Bladder    2.50 

407.  Kinloch's  Anteversion 1.25 

408.  Ball's  Stem 1.25 

409.  Kinloch's  Retroflexion 2.00 

410.  Thomas'  Retroflexion 1.00 

411.  Thomas'  Stem,  for  Anteflexion. . .     2.50 

412.  Thomas'  Anteflexion 2.00 

413.  Thomas'  Anteversion 1.25 

414.  Thomas'  Anteversion  1.35 


Price  List. 
67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  East  28th  St.,  N.  Y. 


0'> 


PIG.  PART  III.  PRICE 

415.  Thomas'  Anteflexion 2.00 

41G.  Hitchcock's  Anteversion 1.00 

417.  Perry's  Flexion  Instrument 5.00 

418.  Hewitt's  Pessarj^ 50 

419.  Hodge's  Closed  Lever 50 

420.  Braun's  Colpeurynter 3.00 

4205.  Trask's  Dumb  Bell  Pessary 1.25 

420c.  Trask's  Dumb  Bell  Pessary 75 

421.  Coxeter's  Stem 1.25 

422.  Conant's  Stem 3.00 

423.  Hurd's,  soft  rubber 1.50 

Kurd's,  hard  rubber 2.00 

424.  Thomas'  Galvanic  Stem 1.50 

425.  Stem  Pessary 75 

426.  Sponge  Tents,  per  doz 1.50 

427.  Edward's  Pessary 3.00 

428.  Stem 75 

4285.  Weber's 4.50 

428c.  Cutter's  Ring 2.50 

429.  Hewitt's 1.25 

429&.  Hodge's  Horse-shoe 50 

430.  Peaslee's  Stem 1.50 

431.  O'Leary's 5.00 

4315.  Thomas'  Anteversion 1.25 

431c.  Fowler's 2.00 

431d.  Skene's  Urinal  Cup 2.50 

432.  Sims'  Pessary  Introducer 8.00 

For  Uterine  and.  Ovarian  Tumors. 

ECRASEURS  AND  LIGATORS. 

483.    Van  Buren's  Ligator 7.00 

434.  Emmett's  Ecraseur 35.00 

435.  Chassaignac's  Ecraseur 25.00 

436.  Edward's  Ecraseur 18.00 

437.  Smith's  Wire  Ecraseur,  curved .. .  6.00 

438.  Braxton  Hick's  Ecraseur 15.00 

4385.  Braxton  Hick's  Ecraseur,  impi'oved  15.00 

438c.  Smith's  Wire  Ecraseur,  straight  . .  5.50 

AS8d.  Barnes'  Wire  Ecraseur 5.50 

438c.  T.  &  Co.'s  Long  Chain  Ecraseur. .  20.00 

438/.  Cintrat's  Ligator 2.50 

438^.  Thompson's  Ecraseur 25.00 

Sims'  Port  Chain  Ecraseur  (Fig.  470)  35.00 

CLAMPS. 

439.  Gueride's  Clamp 5.00 

440.  Noeggerath's  Clamp 7.00 

441.  Dawson's  Clamp 8.00 

442.  Nott's  Rectilinear  Ecraseur 12.00 

443.  Thomas'  Clamp 4.50 

444.  Spencer  Well's  Clamp 6.00 

4445.  Spencer  Well's  (Torsion  Forceps) .  8.00 

445.  Spencer  Well's  Pedicle  Clamp 25.00 

4455.  Byford's  Clamp 15.00 

446.  Darby:s  Clamp 7.00 


PIG.  PART  III.  PRICE 

447.  Atlee's  Clamp  .' 6.00 

4475.  Spencer  Well's  Clamp  Forceps. ..  8.00 

447c.  Thomas'  Sac  Foi-ceps 3.00 

44:7d.  Thomas  Tissue  Forceps 4.50 

448.  Storer's  Clamp  Shield 12.00 

449.  Spencer  Well's  Sac  Forceps 4.50 

450.  Baker  Brown's  Clamp 12.00 

451.  Nelaton's  Tumor  Forceps 3.50 

452.  Nelaton's  Pedicle  Forceps 3.50 

TUMOR  FORCEPS. 

453.  Greenhalg's  Tumor  Forceps 8.00 

454.  Byrne's  Tenaculum  Forceps 6.00 

455.  Byrne's 

456.  Campbell's  Tumor  Forceps 8.00 

457.  Byrne's  Vulsellum 3.00 

458.  Byrne's  Vulsellum 3.00 

459.  Luer's  Polypus  Forceps 6.00 

460.  Nott's  Tenaculum 25 

461.  Double  Tenaculum 3.50 

462.  Double  Tenaculum 2.50 

463.  Byrne's  Uterine  Fixator 2.50 

464.  Sims'  Vulsellum  Hook 5.50 

465.  McClintock's  Polypus  Forceps  . . .  6.00 

466.  Sims'  Enucleator  Blunt  Hook 3.50 

467.  Sims'  Enucleator 3.50 

■468.  Sims'  Tampon  Screw 1.25 

469.  Aveling's  Polyptome 8.00 

470.  Sims'  Port  Chain  Ecraseur 35.00 

For  Cautery. 

471.  Actual  Cautery  Irons,  each 1..50 

472.  Blowpipe 4.00 

473.  Byrne's  Battery 

474.  Cautery  Sling 18.00 

475.  Cautery  Irons,  set 5.50 

476.  Cautery  Irons,  set 4.50 

(Paquelin's  Thermo-Cautery,  page 

134,  Part  I.) 
(Dawson's  Battery,  page  112,  Part  I.) 

For  Paracentesis  and  Drainage. 
(Aspirators,  page  131,  Part  I.) 

477.  Chassaignac's  Drainage  Trocar . .  .     4.00 
4775.  Rubber  Drainage  Tube,  large,  per 

yard 40 

The  same,  medium,  per  yard 40 

The  same,  small,  per  yard 40 

477c.  Ellis'  Drainage  Spiral,  silver 75 

477d.  Callender's  Drainage  Canula 3.00 

(See  page  101,  Part  III.) 

Paracentesis  Abdominis  Trocars. 

478.  Emmett's  Trocar 4.50 

479.  Fitch's  Dome  Trocar  (1,  2,  3),  and 

Tubing 14.00 


Price  List. 

24  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pparre. 


FIG.  part  III.  PRICE 

Fitch's  Aspirator  Needles  (4,  5) . . .  3.50 

Fitclrs  Clamp  Forceps  (G) 4.50 

480.  Spencer  Well's  Trocar 10.00 

Spencer  Well's  Trocar,  curved  . . .  11.00 

481.  Thomas'  Trocar 30.00 

483.    Flint's  Trocar 3.50 

Flint's  Trocar  and  JBulb 5.00 

483.  Thomas'Clamp.forvaginalwounds  8.00 

Obstetrical  Forceps, 

484.  Hodge's 7.00,  8.00 

485.  White's 8.00 

486.  Miller's,  jointed 15.00 

487.  Buzzle's 10.00 

488.  Denman's 7.00 

489.  Loewenthal's 30.00 

490.  Elliott's 9.50 

491.  Simpson's,  long 8.00 

Simpson's,  short 7.00 

493.    Budd's 8.00 

493.  Robertson's 8.00 

494.  Vectis 3.50 

495.  Davis' 7.50 

496.  Bedford's 8.00 

4965.  (Scholler's  Cord  Carrier) 4.00 

497.  Tarnier's 34.00 

498.  McLean's 8.00 

499.  Nsegeli's 8.00 

500.  Roller's 8.00 

501.  Blake's 8.00 

503.    Ives' 7.50 

5035.  Draper's 8.00 

503.  Hunter's 9.00 

504.  Thomas' 7.00 

505.  Tarsitani's 13.00 

506.  Brickel's,  large 8.00 

Brickel's,  small 7.00 

507.  Comstock's 8.00 

508.  Osborn's 8.00 

509.  Taylor's 13.00 

510.  Robinson's 8.00 

5105.  Hale's 7.00 

510c.  Jenk's 8.50 

510(-?.  Trueheart's 13.00 

510«.  Tedder's 13.00 

510/.  Bethel 8.00 

5105-.  Rockwell's 8.50 

510h.  Mathew's 8.00 

Mathew's,  with  screw 9.50 

510*.  Newman's 7.00 

510/c.  Sawyer's 7.00 

510Z.  Gillette's 9.50 

510m. McFerran's  Forceps 13.00 

olOft.  Reyerson's  Vectis 5.00 

olOo.  Robinson's  Insufflator 3.00 


FIG.  PART  III.  PRICE 

Placenta  and  Embryotomy  Instruments. 

511.    Dewee's  Hook  and  Lever 1.00 

513.    Embryotomy  Forceps 3.00 

513.  Placenta  Forceps 3.50 

514.  Bachelder's  Embryotomy  Forceps,  13.00 

515.  Pulling's  Funis  Clamp 40 

For  Obstructed  Labor. 

516.  Holme's  Perforator 5.00 

517.  Bedford's  Perforator 3.00 

518.  Simpson's  Perforator 3.00 

519.  Smellie's  Perforator 3.50 

530.  Ntegeli's  Perforator 4.00 

531.  Bachelder's  Perforator 5.00 

533.    Blott's  Perforator 6.00 

533.  Thomas'  Perforator 8.00 

(See  Fig.  533,  &c.) 

534.  Taylor's  Blunt  Hook 3.50 

535.  Bedford's  Guarded  Hooks 6.00 

536.  Blunt  Hook  and  Crotchet 1.50 

537.  Decapitating  Hook 3.50 

538.  Guarded  Hook  and  Crotchet .  4.50 

Brickell's  Blunt  Hook 5.00 

Brickell's  Crotchet 5.00 

539.  Meig's  Craniotomy  Forceps 4.00 

530.  Tliomas'  Craniotomy  Forceps. . . .  6.00 

531.  Lusk's  Cephalotrite 18.00 

533.     Simpson's  Cranioclast 10.00 

533.  Van  Huvef's  Forcep  Saw  ........  35.00 

5335.  White's  Perforator 4.50 

533c.  Braun's  Perforator 15.00 

5'ddd.  Trueheart's  Perforator 8.00 

534.  Braun's  Munde's  Cephalotrite. . . .  30.00 
5345.  Simpson's  Cephalotrite 15.00 

Brickell's  Craniotomy  Forceps  . . .  4.00 

For  Lacerations  of  the  Female  Perineum. 

535.  Ashton's  Perineum  Needle 1.00 

536.  Helical  Needle 1.75 

537.  Agnew's  Forceps 3.50 

538.  Agnew's  Needles  and  Holder 4.50 

539.  Shot  Compressor 3.50 

540.  Skene's  Needle 1.57 

541.  Brickell's  Suture  Stay 75 

5415.  Munson's  Suture  Stay,  per  pair  . .  .75 

543.    Peaslee's  Needles  (3),  straight  ....  3.00 

5485.  Peaslee's  Needle,  right 1.75 

Peaslee's  Needle,  left 1.75 

543.  Parker's  Perineum  Needles 5.00 

544.  Usual  Perineum  Needle 75 

Anal  and  Rectal  Instruments. 

545.  Bodenhamer's  Reflector .....  80.00 

546.  Ashton's  Speculum 1.00 

547.  Trellis'  Speculum 16.00 


Price  List. 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  Eaht  28tii  St.,  N.  Y. 


25 


FIG.  PART  III.  PRICE 

548.  Bodenhamer's  Endoscope 7.50 

549.  Gorget  Anal  Speculum 2.50 

550.  English  Rectal  Botfgie,  cylindrical,     1 .00 

551.  English  Rectal  Bougie,  conical .. .     1.50 

552.  Bodenhamer's  Sounds,  set  of  10  . .  10.00 

553.  Syphon  Syringe 2.50 

554.  Small  Bivalve  Speculum 4.50 

555.  Rectal  Dilator 12.00 

556.  Whitehead's  Dilator 3.00 

557.  Bodenhamer's  Irrigator 3.00 

558.  Suppository,  hard  rubber 1.50 

559.  Bivalve  Speculum  Ani 6.50 

560.  3  Cautery  Irons  and  Handle 4.50 

561.  Munde's  Rectal  Irrigator 2.50 

5(>3.  2  Cautery  Irons,  each 1.50 

563.  Anal  Dilator 10.00 

564.  Thebaud's  Anal  Dilator 12.00 

565.  Artery  Forceps 3.00 

566.  Rectal  Insufflator 2.50 

567.  Smith's  Pile  Clamp 6.00 

568.  Ashton's  Pile  Clamp 3.00 

569.  Byrne's  Double  Tenaculum 6.00 

570.  Rectal  Dressing  Forceps 2.00 

571.  Rectal  Sponge  Holder 1.00 

572.  Rectal  Curette 2.00 

573.  Silver  Probe 1.25 

574.  Silver  Probe 1.25 

575.  Stomach  and  Enema  Pump 16.00 

576.  Hutchinson's  Syringe 11.00 

577.  Rectal  Port  Caustic 3.00 

578.  Maw's  Enema  Pump 3.50 

579.  Amusat's  Cautery  Clamp 8.00 

580.  Rectal  Brush  Holder 2.50 

581.  Verteb rated  Colonic  Sound 8.00 

583.  Elastic  Probe 50 

583.  Curved  Bistoury 1.75 

584.  Rectal  Bistoury  Cache 7.00 

585.  Blandin's  Knife 8.00 

586.  Cooper's  Knife 1.25,  1.50 

5866.  Probe  Bistoury 1.25,  1.50 

586c.  Sharp  Bistoury 1.25,  1.50 

58Qd.  Blunt  Fissure  Knife 1.25,  1.50 

5866.  Sharp  Fissure  Knife 1.25,  1.50 

587.  Bodenhamer's  Fissure  Knife 5.00 

588.  Bistoury  Cache,  Fistula  .........     7.00 

589.  AUingham's  Scissors  and  Director,    7.00 

590.  Rectal  Scarificator 1.50 

591.  Bodenhamer's  Bistoury,  for  fistula 

inano 10.00 

592.  Gooche's  Canula 5.00 

593.  Camel's-hair  Brush 10 

Glass  Brush 30 


FIG. 

594. 
595. 
596. 

597. 

598. 

599. 

600. 

601. 

602. 

603. 

604. 

605. 

606. 

607. 

608. 

609. 

610. 

611. 

612. 

613. 

614. 

615. 

616. 

617. 

618. 

619. 

619&. 

620. 

621. 

622. 

623. 

624. 

625. 


626. 
627. 
628. 
629. 
630. 
631. 
632. 

633. 
634. 


P.\RT   II r.  PRICIi, 

Carroll's  Knot  Tycr 2.00 

Silver  Director 1.50 

Bodenhamer's     Curvilinear    For- 
ceps    5.00 

Van  Buren's  Ligator 7.00 

Lent's  Platina  Cup 3.50 

Plastic  Pin,  glass  head 25 

Lent's  Ligature  Carrier 1.25 

Bodenhamer's  Spring  Forceps  . . .  4.50 

Sims'  Needle  Forceps 2.50 

Hutchinson's  Needle 2.50 

Skene's  Needle 1.75 

Helical  Needle 1.75 

Port  Mesche 75 

Needles,  straight  and  curved. .     .05,  .15 

Exploring  Trocar 1.50 

Angular  Pile  Needle 1.00 

Bush's  Pile  Needles 3.00 

Perineum  Needle 1.00 

Pile  Supporter 8.00 

Angular  Scissors 1.50 

Gibson's  Port  Ligature 3.00 

Trousseaux' s  Pile  Supporter 2.75 

Bush's  Pile  Scissors 1.50 

Pile  Bougie 1.25 

Bolton's  Pile  Bougie 1.25 

Reed's  Pile  Bougie 1.25 

Depuytren's  Enterotome 5.00 

Verona's  Winch 3.00  -to  3.50 

Sims'  Anal  Dilator 4.50 

Adam's  Pile  Syringe 4.50 

William's  Rectal  Speculum 4.50 

Wale's  Rectal  Bougie 1.50  to  4.00 

AUingham's  Ligature  Carrier  ....  3.50 

Elastic  Ligature,  per  yard 25 

Hernia  Instruments. 

Agnew's  Instrument 6.00 

Wutzer's  Instrument 12.00 

Hinge  Director 1.50 

Levis'  Director 1.50 

Heaton's  Syringe 4.00 

Redfern  Davis'  Instrument 15.00 

Dowell's  Needle,  straight 1.00 

Dowell's  Needle,  curved 1.00 

Cooper's  Knife,  sliding 2.00 

Stewart's  Knife 5.00 

AUis'  Herniatome  (Supplement, 

page  11) 7.00 

Stanley's  Director  (Part  I.,  page  44)  2.50 

Peter's  Director  (Part  I.,  page  48) .  2.50 

Hernia  Knife,plain(PartI.,page  46)  1.00 


Price  List. 


26  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS,    - 

F.  A.  Stohlmann.  e     Edward  Pfarre. 


I>ait    lA^. 


FIG. 
1. 


Orthopgedic  Apparatus. 

Shoulder  Braces.  price 

Elastic  Brace $2.00 

Elastic  Brace 3.50 

Elastic  Brace 3.00 

Elastic  Brace 2.00 

Elastic  Brace 2.50 

Elastic  Brace 3.00 

Steel  Back  Brace 4.00 

Steel  Back  Brace  5.00 

Spine  Braces. 

T.&  Co.'s  Brace  for  Pott's  Curvature  30.00 

The  same,  large 35.00 

Lateral  Curvature,  small 30.00 

T.  &  Co.'s  Lateral  Curvature  Brace,  35.00 
T.  &  Co.'s  Lateral  Curvature  Brace, 

large 40.00 

AYashburn's  Spine  Brace 15.00 

Washburu's  Spine  Brace,  large. . .  .  20.00 
Markoe's  Torticollis  Brace,  small. .  35.00 
]\Iarkoe's  Torticollis  Brace,  large  . .  40.00 

Torticollis  Brace 5.00 

Davis'  Apparatus  for  Caries  of  Spine  20.00 
Davis'  Apparatus  for  Caries  of  Spine  24.00 
Taylor's   Apparatus  for   Caries  of 

Spine,  small 24.00 

Taylor's  Spine,  large 30.00 

Sayre's  Plaster  Paris  Jacket 

Andrew's  Spine  Brace  (Fig.  192). . . 


TJmbilical  Bandages. 

17.  Umbilical 5.00 

Umbilical 6.00 

^  Umbilical 8.00 

18.  Chase's  Umbilical  Truss 4.C0 

19.  Bow  Umbilical  Truss 5.00 

20.  Bow  Umbilical  Truss 2.50 

Bow  Umbilical  Truss,  large 3.00 

21.  Children's  Truss 2.50 

Children's  Truss 3.00 

Children's  Bandage 2.00 

Children's  Bandage 3.00 

Trusses. 

22.  Bow  Truss 3.50 

23.  Ratchet  Truss 4.50 

24.  Best  French,  single  4.00 

Best  French,  single 5.00 

25.  Best  French,  double 6.00 

26.  Chase's 4.00 

27.  French  Adjustable 4.50 


PIG.  PART  IV.  PRICE 

28.  German,  single $3.00 

German,  double 4.50 

29.  Best  Common,  double 4.00 

30.  Hull's 2.00 

31.  Self- Ad  justing,  single 3.00 

Self -Adjusting,  single 5.00 

32.  Self -Adjusting,  double 6.00 

Self -Adjusting,  double 8.00 

33.  French  Adjustable,  double 8.00 

34.  T.  &  Co.'s  Finger-Pad 5.00 

35.  Folsom's 20.00 

36.  Schuppert's  Galvanic 15.00  to  25.00 

Abdominal  Supporters. 

37.  Bow  Spring 4.00 

Bow  Spring 5.00 

38.  Fitch's 5.00 

Fitch's 6.00 

39.  Eugene 6.00 

40.  London 4.00 

41.  Bandage,  Abdominal 6.00 

42.  Noeggerath's 6.00 

43.  Thomas' 8.00 

Thomas',  Cedar  Pad 2.50 

Boston 5.00 

Abdominal   Belts. 

44.  Silk,  Elastic 12.00 

Cotton,  Elastic 8.00 

Riding  Belt 5.00 

Canvas  Belt 4.00 

Satin-jean  Belt 6.00 

Prolapsus   Ani   and   Pile   Supporters. 

45.  Pile  Supporter 8.00 

Mathieu's  (Fig.  207) 5.00 

Suspensory  Bandages. 

46.  Miliano's 2.00 

Cotton 50 

Linen 75 

Silk 1.25 

Silk,  Elastic 2.50 

Rawson's  U.  S.  A.,  No.  1 1.50 

Rawson's  U.  S.  A.,  No.  !}{ 1.75 

Rawson's  U.  S.  A.,  No.  2 2.00 

Rawson's  U.  S.  A.,  No.  3 3.00 

Rawson's  U.  S.  A.,  No.  4 4.00 

"Urinals   for   Incontinence. 

47.  Extrophy 25.00 

Extrophy 50.00 

48.  India  Rubber 2.50 


Price  List, 


67  CHATHAM  STREET,  NEW  YORK. 


Branch  Store, 


107  Eaht  28T1I  St.,  N.  Y. 


27 


FIG.  PART   IV.  PRICE 

49.  India  Rubber $4.50 

India  Rubber COO 

50.  India  Rubber 2.50 

Apparatus  for  Deformity  and  Debility 
of  the   Upper  Extremities. 

51.  For  Ununited  Fracture  of  tlie  Hu- 

merus    35.00  to  70.00 

52.  Prince's  Artificial  Hand 60.00 

58.     Elbow,  Anchylosis  Apparatus 18.00 

54.  Paralysis  Glove 20.00 

55.  Shoulder,  Dislocation 6.00 

Shoulder,  Dislocation 8.00 

56.  Cooper's  Apparatus,  Dislocated  Cla- 

vicle       5.00 

Apparatus  for  Deformity  and  Debility 
of  the  Lower  Extremities. 

FOR   SHORT   LEGS. 

57.  Leg  Extension 9.00 

(Shoe  extra.) 

58.  Leg  Extension  and  Ankle  Brace. .  .  18.00 
(Shoes  extra.) 

59.  Bigg's  Short  Leg  Apparatus 35.00 

FOR   PLAT   FEET. 

595.  Flat  Feet  Sole 2.50 

Flat  Feet  Sole,  per  pair 5.00 

FOR  WEAK  ANKLES. 

60.  Weak  Ankle  Brace,  small,  each  . . .  6.00 
Weak  Ankle  Brace,  medium,  each.  8.00 
Weak  Ankle  Brace,  large,  each. . . .  10.00 
Weak  Ankle  Brace,  small,  per  pair.  12.00 
Weak  Ankle  Brace,  nied.,  per  pair.  16.00 
Weak  Ankle  Brace,  large,  per  pair.  20.00 
(Shoes  extra.) 

61.  For  Talipes  Equiniis  : 

62.  Tendo  Achilles  Brace,  small,  each  .  8.00 
Tendo  Achilles  Brace,  medium,  each  10.00 
Tendo  Achilles  Brace,  large,  each. .  12.00 
Tendo  Achilles  Brace,  small,  per  pair  16.00 
Tendo  Achilles  Brace,  med.,  per  pair  20.00 

■  Tendo  Achilles  Brace,  large,  per  pair  24.00 
(Shoes  extra.) 

FOR  TALIPES  VARUS  ^T   VALGUS. 

63.  T.  &  Co.'s  Clubfoot  Shoe,  small,  each "  10.00 
T.  &  Co.'s  Clubfoot  Shoe,  med.,  each  12.00 
T.  &  Co.'s  Clubfoot  Shoe,  large,  each  14.00 
T.  &  Co.'s  Clubfoot  Shoe,  per  pair.  20.00 
T.  &  Co.'s  Clubfoot  Shoe,  per  pair.  24.00 
T.  &  Co.'s  Clubfoot  Shoe,  per  pair.  28.00 
Barwell's  Shoe  (Fig.  143) 

64.  Sayre's  Shoe,  small,  each 10.00 


FIG.  PART   IV.  PRICE 

Sayre's  Shoe,  medium,  each $12.00 

Sayre's  Shoe,  large,  each 14.00 

The  same,  per  pair. .  .  20.00,  24.00,  28.00 

65.  Talipes  Valgus 

66.  For  Tajjpes  Calcaneus  : 

67.  Talipes  Calcaneus  Apparatus,  eacli,  10.00 
Talipes  Calcaneus  Apparatus,  eacli,  12.00 
Tlie  same,  per  pair 20.00,  24.00 

08.  Talipes  Calcaneus  Apparatus,  each,  10.00 
Talipes  Calcaneus  Apparatus,  each,  12.00 
The  same,  per  pair 20.00,  23.00 

69.  Support  for  Weak  Legs  : 

For  Adults 35.00 

For  Adults 50.00 

For  Adults 75.00 

For  Children 25.00 

For  Children 35.00 

PARALYSIS  APPARATUS. 

70.  For  Leg  and  Thigh,  small,  each  .  . .  25.00 
For  Leg  and  Thigh,  medium,  each.  30.00 

The  same,  per  pair 30.00,  60.00 

(Shoes  extra.) 

71.  Hemiplegia  Apparatus,  .small 30.00 

Hemiplegia  Apparatus,  medium . . .  40.00 
(Shoes  extra.) 

72.  Paraplegia  Apparatus,  small 35.00 

Paraplegia  Apparatus,  medium ....  50.00 

Paraplegia  Apparatus,  large 70.00 

(Shoes  extra.) 

FOR  BOW-LEGS. 

73.  Bow-Leg  Braces,  small,  per  pair. . .  25.00 
Bow-Leg  Braces,  medium,  per  pair,  30.00 
(Shoes_  extra.) 

FOR  GENU-VALGU3I  OR  KNOCK-KNEE. 

74.  Knock-Knee  Braces,  small,  per  pair,  30.00 
Knock-Knee  Braces,  med.,  per  pair,  35.00 
Knock-Knee  Braces,  large,  per  pair,  40.00 
Trueheart's-Knee  Brace  (Fig.  197). . 

FOR    CORRECTING    ANTERIOR    CURVATURE    OF 
THE   TIBIA. 

75.  Tibia  Curvature  Brace,  small,  each,  12.C0 
Tibia  Curvature  Brace,  med.,  each. .  15.00 
Tibia  Curvature  Brace,  large,  each.  18.00 
Tibia  Curvature  Brace,  per  pair  . .  .  24.00 
Tibia  Curvature  Brace,  per  pair  . . .  30.00 
Tibia  Curvature  Brace,  per  pair  . . .  36.00 

barwell's  attachments  and  artificial 
muscles,  for  adjusting  cli^-feet. 

76.  Barweirs  Eyes,  each 10 

Barwell's  Tin  Plate,  each 20 


Price  List. 

28  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


FIG.  P.\RT   rv.  PRICE 

Barbell's  Rubber,  per  foot $0.13 

Mole-sldn  Plaster,  per  yard 1.50 

FOR   E^-ERSION   AND   INVERSION    OP   FEET. 

77.  Eversion  of  Feet 5.00 

Eversion  of  Feet 10.00 

Eversion  of  Feet,  with  Pelvic  Band,  30.00 

APPARATUS  FOR  BUNIONS  AND  HAMMER  TOES. 

78.  Bunions,  each 8.00 

Bunions,  per  pair 16.00 

79.  Overriding  Toes,  each 7.00 

Overriding  Toes 10.00  to  15.00 

Overriding  Toes,  for  both  feet 14.00 

Overriding  Toes,  for  both  feet  ....  30.00 

APPARATUS  FOR  FALSE   JOINTS. 

80.  Leg  and  Thigh,  small 25.00 

Leg  and  Thigh,  small 30.00 

Leg  and  Thigh,  for  adults 40.00 

Leg  and  Thigh,  for  adults 75.00 

(See  also  Figs.  51,  170,  171, 172,  178.) 

Apparatus  for  the   Treatment   of  Joint 

Diseases. 

80i.  Hooper's  KneeExtension Apparatus  35.00 

HIP-JOINT   SPLINTS. 

81.  Davis' 15.00 

82.  Sayre's,  small 15.00 

Sayre's,  medium 16.00 

Sayre's,  large 18.00 

Moleskin  Plaster,  per  yard 1.50 

84.  Hamilton's,  Gauze 15.00 

85.  Bauer's 25.00 

86.  Bauer's  Breeches,  small. 15.00 

Bauer's  Breeches,  medium 18.00 

Bauer's  Breeches,  large 25.00 

87.  Taylor's,  small 25.00 

Taylor's,  medium 30.00 

Taylor's 35.00 

Taylor's,  large 40.00 

88.  Washburn's 7.00 

89.  Hutchison's,  small 25.00 

Hutchison's,  fine 30.00 

Hutchison's,  large 35.00 

Hutchison's,  fine,  large 40.00 

Sayre's  Long  Splint  (Fig.  175) 

Andrew's  Splint  (Fig.  191) 

KNEE-JOINT   SPLINTS. 

90.  Long,  for  Anchylosis 35.00 

Long,  for  Anchylosis,  large 40.00 

(Shoes  extra.) 

91.  Short,  for  Anchylosis 25.00 

Short,  for  Anchylosis,  large 30.00 


FIG.  PART  IV.  PRICE 

92.  Anchylosis  Apparatus $18.00 

Anchylosis  Apparatus,  large 24.00 

93.  Sayre's  Knee-SpHnt 20.00 

(Mode  of  Applying,  Fig.  93.) 
Andrew's  (Fig.  187) 

ANKLE-JOINT   SPLINTS. 

98.     Sayre's,  Extension 22.00 

Andrew's  (Fig.  186) 

Elastic   Hose. 

SILK. 

Leg  and  Thigh,  best,  each 11.00 

Knee,  best,  each 8.00 

Calf  or  Three-quarter,  each 4.50 

Fine  Knee,  each 6.00 

Three-quarter  or  Calf,  each 3.50 

COTTON. 

Leg  and  Thigh,  each 5.50 

Knee,  each 3.50 

Three-quarter  or  Calf 2.00 

Knee   Caps. 

Silk,  best 3.50 

Silk,  fine 3.00 

Cotton 1.75 

Anklets. 

Silk 8.00 

Cotton 1.75 

(Wristlets  and  Armlets  to  order.) 

Elastic   Belts. 

Silk 12.00 

Silk,  with  Stays 14.00 

Cotton 8.00 

Fracture   Apparatus. 

FOR  THE   THIGH. 

102.  Smith's  Anterior  Splint 2.00 

103.  Byrd's  Smith's  Splint 5.00 

104.  Skinner's  Bed 25.00 

105.  Hewit's  Femur  Apparatus 40.00 

106.  Buck's  Apparatus 10.00 

lOQIi.  Buck's  Weights,  &c 5.50 

107.  Femur  Apparatus 10.00 

Femur  Apparatus 25.00 

108.  Lente's  Hospital  Splint 18.00 

109.  Burge's  Apparatus 50.00 

110.  Listen's  Mclntyre's  Splint 16.00 

111.  Henry's  Shears,for  Plaster  Bandage    7.50 

FOR  THE  PATELLA. 

112.  Turner's  Apparatus 12.00 

113.  Lewis'  Apparatus 6.00 

114.  Boisnot's  Apparatus 12.00 

115.  Hartshorn's  Apparatus 7.00 


Price  List. 

67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  SSth  St.,  N.  Y. 


39 


FIG.  PART   IV.  PRICE 

116.  Hamilton's  Apparatus $8.00 

Plamilton's  Apparatus 10.00 

117.  T.  &  Co.'s  Knee-Cap 5.50 

118.  Spring  and  Cup 6.00 

FOR  THE   TIBIA  AND   FIBULA. 

119.  Hodgen's  Apparatus 6.00 

120.  Smith's  Anterior  Splint 2.00 

121.  Raphael's  Pott's  Splint 5.00 

FOR  THE   LOWER   MAXILLARY. 

123.    Hamilton's  Bandage 5.00 

Hamilton's  Bandage,  extra  fine. . .  12.00 

FOR  THE   CLAVICLE. 

Fox's  Apparatus  (Fig.  147) 

123.  Levis'  Apparatus 5.00 

124.  Richardson's  Apparatus 6.00 

125.  Sayre's  Dressing 

126.  Sayre's  Dressing 

127.  Sayre's  Dressing 

Mayor's  Apparatus  (Fig.  150) 

FOR  COLLE'S  FRACTURE. 

128.  Hewit's  Splint 7.00 

129.  Shrady's  Splint 2.00 

SUSPENDING  APPARATUS. 

130.  Hodgen's 5.00 

Clark's  (Fig.  1.57) 

Sayre's  (Fig.  193) 

Buck's  (Fig.  174) 

Smith's  (Fig.  120) 

Salt's  (Fig.  156) 

CARVED   WOOD   SPLINTS. 

Double  Inclined  Planes. .  7.00,  8.00,  9.00 

Lining  Splints,  set  of  20 5.00 

Leg  and  Ankle  Splints,  per  pair  . .  2.00 

Forearm  Splints 1.25 

Elbow  Splints,  plain 1.50 

Elbow  Splints,  jointed 2.50 

Patella  Splints 1.50 

Radius  Splints 1.25 

Bond's  Splint,  for  fracture  of  radius  2.25 

Clavicle  Splint 4.00 

Condyle  and  Humerus  Splint 1.00 

Large  Extension  Splint,  Bar  and 

Garter 7.00 

Short   Extension    Splint,  without 

screw 3.00 

Interosseous  Splint 75 

Joint  Arm  Splint 8.00 

Dressing  Splints,  per  pair 1.25 

BASSWOOD   SPLINTS. 

Set  of  12  Radius  Splints l.OO 

Set  of  12  Radius  Splints 1.25 


PIG.  PART  IV.  PRICE 

hatters'  board,  FOR   SPLINTING. 

Per  yard $4.00 

GUTTA   PERCHA,  FOR   SPLINTING. 

Thick,  per  pound 3.00 

Thin,  per  pound 4.00 

(Plaster  Paris  Splinting.) 
(Wire  Splints  made  to  ordci-.j 

Roller  Bandage,  per  pound 1.50 

Styptic  Cotton,  per  box 35 

Adhesive  Plaster,  per  yard 75 

Moleskin  Plaster,  per  yard 1.50 

Dislocation  Apparatus. 

131.    Pulleys,  per  pair 7.00 

134.    Levis'  Splint 1.50 

136.  Luer's  Luxation  Forceps 8.00 

137.  Charriere's  Forceps 9.00 

Counter-Extension. 

138.  Stanchion 5.00 

Stanchion 10.00 

Crutches. 

141.  Whittemore's,  lancewood,  per  pair,  12.00 
Whittemore's,  maple,  per  pair. . . .  11.00 

Plain  Maple,  per  pair 7.00 

Plain  Hickory,  per  pair 4.00 

Hickory,  rubber  bottom,  per  pair.  5.00 

Children's,  per  pair 3.00 

Children's,  per  pair 5.00 

Sockets,  for  Crutches,  per  pair  . . .  4.00 

Crutch  Rubber 45 

LITTERS. 

142.  Folding 

(Other  styles.) 

Miscellaneous  Apparatus. 

FOR  CLUBFOOT. 

143.  Barwell's  Shoe,  each 15.00 

Barwell's  Shoe,  per  pair 30.00 

144.  Shaffer's  Lateral  Screw 

FOR  JOINT  DISEASE. 

145.  Holthouse's  Extender 10.00 

Holthouse's  Extender 15.00 

146.  Shaffer's  Knee  Splint 

FRACTURE  APPARATUS. 

147.  Fox's  Clavicle  Splint 5.00 

148.  Hamilton's  Elbow  Splint 

149.  Gutta  Percha  Splint,  per  lb . .  3.00  to  4.00 

150.  Mayor's  Clavicle  Apparatus 5.00 

152.  T.  &  Co.'s  Arm  Sling 4.50 

Plain  Arm  Slings 3.50 

153.  Clark's  Olecranon  Apparatus 5.00 


PiiicE  List." 

30  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarke. 


FIG.  TART   IV.  PRICE 

Clark's  Olecranon  Apparatus |8.00 

15i.     Smith's  Anterior  Splint 2.C0 

155.  Shrimptou's  Forceps 3.50 

156.  Salt's  Cradle 12.00 

157.  Clark's  Apparatus 30.00 

158.  Morgan's  Bed ' 

159.  Morgan's  Bed 

160.  Muuger's  Rods 4.50 

161.  Munger's  Splint 6.00 

163.     Depuytren's  Fibula  Splint 

163.  Harris'  Apparatus 

164.  Wackerhagen's  Splint 

165.  Wackerhagen's  Shears 6.00 

166.  Wackerhagen's  Fixator 

167.  Rhode's  Inclined  Plane 

168.  Rhode's  Fracture  Bed 

APPARATUS  FOR  FALSE   JOINTS. 

170.  Smith's  Artificial  Femur. .  35.00  to  50.00 

171.  Smith's  Artificial  Tibia. . .  30.00  to  40.00 

172.  Smith's  Artificial  Humerus,  35.00  to  70.00 

173.  Smith's  Artificial  Forearm .  35.00  to  50.00 

SUSPENSION    APPARATUS,    FOR    HOSPITAL    USE. 

174.  Buck's  Suspension 18.00 

FOR   JOINT   DISEASE. 

175.  Sayre's  Long  Hip  Splint 25.00 

Sayre'sLong  Hip  Splint.  30.00  to  45.00 

FOR  DRY  CUPPING. 

176.  Junod's  Boot,  small  .  : 15.00 

Junod's  Boot,  large 25.00 

177.  Junod's  Arm,  small 15.00 

Junod's  Arm,  large 25.00 

FOR  SECURING   THE   INSANE. 

178.  Straight  Jacket 8.00 

Straight  Jacket 10.00 

Straight  Jacket 15.00 

179.  Buckle 2.50 

Belt  and  Buckle 6.00 

FOR   USE    OP  HOT   WATER   IN   SURGERY. 

180.  Bath  for  Arm 13.00 

181.  Bath  for  Leg 15.00 

FOR   ALTERNATE    APPLICATION    OP    DRY   HEAT 
AND   COLD. 

182.  Hamilton's  Revulsor 8.00 

FOR   EXTENSION. 

183.  Denison's  Windlass 1.50 

FOR   BLOODLESS   OPERATIONS. 

184.  Esmarch's  Tourniquet 3.75 

FOR   APPLICATION    OF   COLD. 

185.  Spinal  Ice  Bug 4.50 


FIG.  PART   IV.  PRICE 

Spinal  lee  Bag $10.25 

185^.  Turnbull's  Ice  Bag 2.50 

FOR   JOINT    DISEASES. 

186.  Andrew's  Ankle  Splint 

187.  Andrew's  Knee  Splint 

188.  Andrew's  Knee  Splint 

189.  Sayre's  Shears 7.00 

190.  Andrew's  Knee  Instrument 

191.  Andrew's  Hip  Splint 12.00 

FOR   SPINAI;   CURVATURE. 

192.  Andrew's  Spine  Brace 20.00 

193.  Sayre's  Suspense,  plain 8.00 

The  same,  double-hooked  beam . . .  9.00 

The  same,  with  brass  pulleys 15.00 

Sayre's  Tripod '. 10.00 

Cross-barred  Muslin,  per  j^ard 22 

Seamless  Shirt 2.50 

Seamless  Sliirt 3.50 

194.  Sayre's  Jury  Mast 12.00 

.KNEE   AND   ANKLE   COMPRESSORS. 

195.  Sayre's  Compressor,  Knee ■.  6.00 

Sayre's  Compressor,  Ankle (i.OO 

FOR   FRACTURE   OP   ARM   AND   HAND. 

196.  Coover's  Splint 1.50 

FOR   KNOCK-KNEE. 

197.  Trueheart's  Brace  for  Knock-Knee  35.00 

FOR  writer's  cramp. 

198.  Writer's  Cramp  Apparatus 10.00 

199.  Writer's  Cramp  Apparatus. 6.00 

FOR   UMBILICAL   AND   ABDOMINAL   HERNIA. 

200.  Walker's  Supporter 12.00 

APPLIANCES. 

201.  Stillman's  Ratchets 

(Send  for  pamphlet.) 

Plaster  Bandage  Shears. 

202.  Szymauowsky's 9.00 

203.  Brun's 10.00 

204.  Esmarch's 4.50 

Henry's  (Fig.  Ill) 7.50 

Wackerhagen's  (Fig.  165) 0.00 

Sayre's  (Fig.  189) 7.00 

FOR   HERNIA,  SEMINAL   CORDS   AND   PILES. 

205.  Wood's  Truss 

206.  Doisnot's  Compress 4.00 

207.  Mathieu's  Pile  Support 5.00 

Martin's  Rubber  Bandage. 

207^*.   10  feet  long,  3  inches  wide 2.00 


Price  List. 


67  CHATHAM  STREET,  NEW  YORK. 
Branch  Store,  107  East  2STn  St.,  IST.  Y. 


31 


FIG.  PART   IV.  PRICE 

Bulkley's   Rubber  Bandage. 

12  feet  long,  ?>  inehes  wide $1.25 

CONTRACTED  WRIST  APPARATUS. 

208.  Contracted  Wrist  Apparatus .  20.00, 30.00 

SPINAL   CURVATURE. 

209.  Spine  Brace 40.00 

210.  Spine  Brace 40.00 


PIG-  PART   IV.  PRICE 

PATKI.I.I':    sri'POItT. 

211.     Bacon's 

Artificial  Nose. 

218.     Artilicial  Nose,  from.  . .  $.50.00  to  125.00 
according  to  workinansliip. 

Artificial  Eye. 
214.     Artificial  Eye 10.00 


Fart   V. 


Tooth  Forceps. 

PIQ  BEST,  WARRANTED.  PRICE 

1.  Bayonet-shaped  Wisdom  . ". $2.75 

3.  Lower  Wisdom 2.75 

3.  Bayonet-shaped  Stump 2.75 

4.  Upper  Bicuspid 2.75 

5.  Upper  Molar,  right 2.75 

6.  Upper  Molar,  left 2.75 

7.  Upper  Molar,  Cowhorn,  right 2.75 

8.  Upper  Molar,  Cowhorn,  left 2.75 

9.  Upper  Molar,  Cowhorn,  either  side,  2.75 

10.  Upper  Molar,  right  or  left 2.75 

11.  Upper  Molar,  bayonet-shaped,  left  .  2.75 

12.  Upper  Molar,  bayonet-shaped,  right,  2.75 

13.  Harris'  Upper  Molar,  left 2.75 

14.  Harris' Upper  Molar,  right 2.75 

15.  Harris' Lower  Molar,  right 2.75 

16.  Harris'  Lower  Molar,  left 2.75 

17.  Harris' Lower  Molar,  either  side. . .  2.75 

18.  Cowhorn  Lower  Molar,  right 2.75 

19.  Cowhorn  Lower  Molar,  left 2.75 

20.  Cowhorn  Molar,  either  side 2.75 

21.  Harris' Lower  Molar,  right 2.75 

32.  Harris'  Lower  Molar,  left 2.75 

23.  Harris'  Lower  Molar,  either  side. . .  2.75 

24.  WolYerton'sLowerMolar,eitherside  2.75 

35.  Wolverton's  Upper  Bicuspids 3.75 

36.  Wolverton's  Lower  Bicuspids 3.75 

37.  Wolverton's  Lower  Root,  left 8.75 

38.  Wolverton's  Lower  Root,  right 8.75 

39.  Universal  Root 8.75 

80.  Straight  Root 2.75 

31.  Lower  Root,  bent  handles 2.75 

32.  Straight  Root,  narrow 2.75 

33.  Half-Curved  Root 2.75 

34.  Full-Curved  Root 3.75 

35.  Narrow -Beak  Root,  bent  handles  . .  3.75 

36.  Narrow-Beak  Root,  straight 3.75 

37.  Narrow-Beak  Root,  half-curve 8.75 

38.  Narrow-Beak  Root,  full-curve 3.75 


FIG.  PRICE 

39.  Narrow-Beak  Root,  bayonet-shape .  $2.75 

40.  Narrow-Beak  Root,  right 3.75 

41.  Narrow-Beak  Root,  left 3.75 

43.     Universal 8.75 

43.  Universal  Root,  narrow  beak 8.75 

44.  Parmly's  Straight 3.75 

45.  Parmly's  Half -Curved 8.75 

46.  Parmly's  Full-Curved 3.75 

47.  Parmly's  Bayonet-shaped 3.75 

48.  Parmly's,  left 3.75 

49.  Parmly's,  right 8.75 

50.  Straight  Excising : .  .  3.75 

51.  Curved  Excising 3.75 

53.     Splitting ■ 3.75 

53.  Elevating 8.75 

54.  Single- Jointed,  Straight  or  Curved.  1.35 

55.  GoodwilIie'sUpperMolar,warranted  3.75 

56.  Good  Willie's  Spicula,  warranted . . .  3.75 

57.  Goodwillie's  Root  and  Children's . .  3.75 

58.  Goodwillie's  Splitting,  warranted. .  8.75 

59.  Third  quality,  double-jointed 1.50 

60.  Goodwillie's  Bicuspids,  w^arranted.  8.75 

61.  Single- Jointed,  Curved  or  Straight .  1.25 
63.     Goodwillie's  Half-Curved, warranted  3.75 

63.  Goodwillie's  Straight,  warranted  . .  8.75 
Second  quality,  of  above  patterns. .  8.00 

Also  Tooth  Forceps.at 1.50,  1.35 

(See  Figs.  54,  59  and  61.) 

Turn  Keys. 

64.  Spring  Bolt  Turn  Key 3.00 

65.  Spring  Bolt  Turn  Kej^,  double-eye 

hooks 3.00 

66.  Turn  Key,  with  removable  fulcrum,  2.50 

67.  Turn  Key,  with  rotating  fulcrum .  .  2.50 

Root  Extractors   and   Gum   Lancets. 

68.  Stag  Foot  Elevator 1.00 

69.  Screw  Elevator 1.00 

70.  Root  Extractor 1.00 


Price  List. 


32  GEO.  TIEMANN  &  CO'.S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edward  Pfarre. 


«>iG.  part  y.  price 

71.    Root  Extractor fl.OO 

•73.     Gum  Laucet 1.00 

rs.    Curved  Root  Extractor 1.00 

74.  Angular  Root  Extractor 1.00 

75.  Gum  Lancet,  tortoise-shell  handle, 

with  .spring  catch 2.00 

The  same,  .slide-catch 2.00 

The  same,  without  catch 1.00 

Staphylorrhaphy  Instruments. 
UP  DE  Graff's  staphylorrhaphy  case. 

76.  Curved  Bistoury 2.00 

77.  Curved  Needle 3.00 

78.  Blunt  Hook 2.00 

79.  Bent  Needle 2.00 

Figs.  76, 77, 78, 79,  put  up  in  a  neat 

case 9.00 


Dermatological  Instruments. 

Nsevus  Needle 

Piffard's  Comedone  Extractor 

Piffard's  Irido  Platinum  Needle. . 

Piffard's  Milium  Needle 

Piffard's  Scarifying  Spud 

Piffard's  Epilating  Forceps 

Piffard's  Grappling  Forceps 

Skin  Grafting  Scissors 

Piffard's  Cutisector 

Piffard's  Sharp  Spoon,  each 

Hess'  Glass  Pleximeter 

SEE  ALSO  : 
(Henry's  Depilating  Forceps,  page 

46,  Part  III.) 
(Platina   Caustic    Cups,  Fig.  809, 

Part  III.) 
(Fine  Scissors,  Figs.  110,  111,  Part 

n.) 

(Scalpels,  pages  6,  46,  Part  I.) 
(Microscopic  Instniments,  page  90, 

Part  I.) 
(Counter  Irritants,  page  66,  Part  I.) 


.75 
1.00 
1.00 
1.35 
1.35 
1.50 
3.00 
6.50 
5.00 
2.25 

.50 


FIG.  PART  V.  PRICE 

(Vaccinating  Instruments,  page  66, 

Part  I.) 
(Hypodermic    Syringes,  page    79, 

Part  I.) 

Nail  and  Corn  Instruments, 

91.  Spring,  for  Inverted  Nails $0.25 

92.  Nail  Nippers 2.50 

93.  Nail-extracting  Forceps 2.50 

94.  Corn  Knife  and  File 75 

95.  Van  Buren's  Sequestrum  Forceps,    3.00 
Van  Buren's  Sequestrum  Forceps,    3.50 

96.  Nail  Cleaner  and  File 35 

97.  Pocket  Case  Scalpel 1.00 

98.  Dissecting  Scalpel 60  to  .75 

99.  Splinter  Forceps 1.00 

100.  Corn  Knife,  spring  handle 1.00 

Sundries. 

GYNECOLOGICAL. 

101.  Emmett's  Counter-pressure  Hook .     1.35 
103.    Emmett's  Enucleator 1.50 

103.  Emmett's  Needle  Forceps 3.00 

104.  Emmett's  Double  Tenaculum  ....     5.00 

105.  Emmett's  Curette  Forceps 3.50 

106.  Wallace's  Spring  Tent 75 

107.  Bozeman's  Perineal  Elevator 5.50 

108.  Uterine   Dressing   Forceps,  slide- 

catch  3.75 

109.  Emmett's  Twisting  Forceps 3.75 

110.  Emmett's  Sponge  Dilator 2.50 

111.  Emmett's  Uterine  Tourniquet .... 

113.  Emmett's  Cystitis  Eyelet 35 

113.  Bache  Emmett's  Fistula  Tube 30 

114.  Stimson's  Needle  &  Cutting  Forceps   3.50 

115.  King's  Pelvimeter 4.00 

TRACHEAL. 

116.  Minor's  Trachea  Retractors 4.50 

117.  Brown's  Pessary,  hard  rubber 50 

Brown's  Pessary,  soft  rubber 75 


Sn-pplement. 


FIG.  SUPPLEMENT.                         PRICE 

1.    Newman's  Obstetrical  Forceps $7.00 

3.     Bank's  Urethrotome 30.00 

3.  Sawj-er's  Obstetrical  Forceps -  7.00 

4.  Milne's  Urethrotome 17.00 

5.  Wight's  Cautery 11.00 

6.  Bill's  Arrow  Extractor 3.50 

7.  Hank's  Tenaculum  Forceps 3.00 


FIG.  SUPPLEMENT.  PRICE 

8.  Reese's  Leech $4.50 

9.  Adams' Subcutaneous  Section  Knife    1.50 

10.  Adams'  Large  Saw 4.00 

11.  Adams' Small  Saw 3.00 

12.  Adams'  Rhinoplastos 3.00 

13.  Bridge's  Nasal  Douche 60 

14.  Bridge's  Auto-Insufflator 75 


Price  List, 


67  CHATHAM  STREET,  NEW  YORK. 


Bkanch  Store, 


33 


107  East  28Tir  St.,  N.  Y. 


FIG.  SUPPLEMENT.  PRICE 

15.    Schuyler's  Speculum $12.00 

IG.     Woodward's  Pessiuy,  No.  1 1.25 

Woodward's  Pessary,  No.  2 1.25 

17.    Thompson's  Ecraseur 25.00 

IS.     Stanford's  Prohang 2.50 

19.  Hoff's  Automatic  Suture 5.50 

20.  Russian  Needle-Holder 4.00 

21.  Hank's  Tracheotome 9.00 

22.  liank's  Antiseptic  Atomizer 15.00 

2'6.     Sexton's  Insufflator 2.00 

24.  Stohlmann's  Bead  Saw 6.00 

25.  Ryerson's  Vectis ....  5.00 

26.  Wales'  Rectal  Dilator 1.50  to  3.50 

Wales'  Explorer,  No.  3 2.00 

Wales'  Irrigator,  No.  5 3.50 

27.  Thomas'  Tumor  Scoop 3.50 

28.  Patent  Thermometer 3.50 

29.  Fitch's  Wire  Twister 4.00 

30.  Otis'  Prostatic  Guide 1.25 

31.  Holden's  Resonator 2.50 

32.  Munson's  Model 9.00 

33.  Prince's  Staphylorrhaphy  Needle. .  10.00 

34.  Hutchison's  Lithotome 8.00 

35.  AUis'  Herniatome 7.00 

36.  Sussdorf's   Tupelo   Tents,  hollow, 

per  doz 3.00 

The  same,  solid,  per  doz 2.00 

37.  Kinloch's  Urethrotome 25.00 

38.  Patent  Velvet  Eye  Catheter 75 

39.  Burrall's  Atomizer 1.50 

40.  Fryer's  Sims'  Speculum 2.00 

41.  Steurer's  Dilator 8.00 

Cold  Sound,  silver 4.00 

Cold  Sound,  soft  rubber 2.50 

42.  Plaster  Paris  Spreader ... 5.00 

43.  Apparitor  Auris,  per  pair 6.00 

44.  Tarnier's  Obstetric  Forceps 24.00 

45.  Ball's  Uterine  DiLator 10.00 

46.  Cleborne's  Tenaculum,  &c 7.00 

47.  Fitch's  Handy  Aspirator 5.00 

48.  Wood's  Torticollis  Apparatus 5.00 

49.  Weir's  Antiseptic  Atomizer 15.00 

50.  (Hypodermic    Syringes,    see    List, 

Fig.  213,  &c..  Part  I.) 

51.  Theobald's  Probes  ...............  4.00 

52.  Weir's  Mouth  Gag 7.00 

53.  George's  Inhaler 3.50 

54.  Sand's  Needle-Holder,  improved  . .  4.50 

55.  Yarrow's  Enucleator 4.00 

56.  Bates'  Psychrophor 4.00 

57.  Bigelow's  Evacuator 12.00 

Bigelow's  Evacuator,  with  Stand  . .  15.00 


PIG. 

58. 
59. 
CO. 
61. 
62. 

63. 
64. 

65. 
66. 
67. 

68. 
69. 
70. 
71. 

72. 
73. 

74. 

75. 
76. 
77. 
78. 
79. 
80. 
81. 
82. 
83. 


85. 
86. 
87. 
88. 
89. 
90. 
91. 
92. 

93. 

94a 


94ff 

94&. 

94c. 

dM. 

95  a 

955, 

96. 

97. 

98. 


SCl'I'LK.MENT.  PRICE 

Bigelow's  Litlioti'ite $35.00 

Skene's  Endoscope 2.75 

Bates'  Urethrotome 15.00 

Skene's  Retlux  Catlieter 2.50 

Skene's  Double  Peiforatcd  Catlie- 
ter       2.00 

Skene's  Self-i'ctaining  Calheier. .  . .     2.00 

Bigelow's  Artery  Forceps 3.00 

Skene's  Cystocele  Pessary 2.00 

Otis'  Perineal  Tourniquet  ....     .  .     5.50 

Bozeman's  Vaginal  Support ...    ...     2.00 

Weir's  Urethrameter 18.00 

Carroll's  RetroHexion  Pessary 75 

Hank's  Throat  Spray,  each  . .    ....     1.00 

Gross'  Urethrameter 20.00 

Gross'  Urethrotome 6.00 

Gross'  Urethral  Dilator 14.00 

Currie's  Double  Canulated  Needle.     7.00 

Pritchett's  Urethrotome 25.00 

Hank's  Rapid  Uterine  Dilators  ....     5.50 

Coleman's  Pessary 40 

Hunter's  Divulsor  and  Urethi'O^ome  32.00 

Hunter's  Urethral  Tourniquet 5.50 

Hunter's  Filamentous  Wedge,  sach,       .75 
Steam's  Dilating  Urethrotome  ....  12.00 

Fowler's  Bow  Pessary 3.00 

Shaffer's  Clubfoot  Shoe 10.00 

Shaffer's  Clubfoot  Shoe 12.00 

Shaffer's  Ankle  Splint 6.00 

Shaffer's  Ankle  Splint 8.00 

Shaffer's  Head  Rest 

Shaffer's  Spine  Brace 10.00 

Shradj^'s  Subcutaneous  Saw 7.00 

Cleborne's  Double  Forceps 3.50 

Biart's  Speculum  Vagina? 20.00 

Politzer's  Uniform  Acoumeter  ....     3.50 

Marsh's  Respirometer 10.00 

Fryer's  Sims'  Speculum  and  Attach- 
ments    11.00 

Leonard's  Uterometric  Sound 3.25 

,  b,  c,  d.  Hutchison's  Apparatus  for 
Treating  Hip-,  Knee-  &  Ankle- 
JoiNT  Disease 

.  Crutches,  per  pair 3.00  to  12.00 

Leg  Extension 6.00  to  7.00 

Hatters'  Board,  for  Splinting,  per  yd.    4.00 
Roller  Bandage,  per  pound 1.50 

,  Stillman's  Knee  Brace 30.00 

c.  Stillman's  Bracket  for  Knee- Joint,     9.00 

Schweig's  Stricture  Dilator 10.00 

Lincoln's  Cautery  Electrode 20.00 

Skene's  Uterine  Sector lO.OC 


PiiicE  List 

3-1:  GEO.  TIEMANN  &  CO.'S  SURGICAL  INSTRUMENTS, 

F.  A.  Stohlmann.  Edwakd  Pfakre. 


Emmett's  Set  of  Instruments  for  Vesico-Vaginal  Fistula. 


1  Sims'  Hospital  Speculum. 
1  Sims'  Virgin  Speculum. 
1  Emmett's  Depressor. 
1  Emmett's  Sponge  Holder. 
1  Sims'  Catheter,  soft  metal. 

1  Emmett's  Uterotome. 

2  Emmett's  Tenacula. 
1  Perry's  Tenaculum. 
6  Emmett's  Scissors. 
1  Emmett's  Wire  Pressing  Forceps. 

In  a  three-fold  morocco  case  lined  Avith  chamois— red  or  drab.  In  the  middle  compart- 
ment are  placed  the  scissors  and  other  instruments  which  would  be  injured  by 
being  twisted  in  the  rolling  or  folding  of  the  case.  Beneath  these  is  space  for  the 
speculum  and  sponge  holders $80.00 


2  Bistouries. 

1  Scalpel. 

1  Emmett's  Needle  Forceps. 

1  Emmett's  Dressing  Forceps. 

1  Emmett's  Wire  Twisting  Forceps. 

Sims'  Blunt  Hook. 

Sims'  Shield. 

Sims'  Wire  Carrier. 

Coil  Silver  Wire. 

Doz.  Emmett's  Needles. 


Geo.  Tiemann  &  Oo.'s  Velvet  Eye  Catheter. 

There  are  three  varieties  of  soft  rubber  catheters  in  the  market.  The  French,  known  as 
Nekton's,  the  English,  called  Jaques',  and  Tiemann's. 

The  eyes  of  the  French  and  English  catheters  are  punched,  leaving  the  edges  sharply  de- 
fined, which  causes  irritation  and  pain  on  introduction,  Avhereas  those  of  our  make  can  do  no 
possible  injury,  and  are  more  durable  because  there  is  no  cut  surface  to  be  acted  upon  by  the 
urine. 

Patented  June  12lh,  1877. 


{Extract from  '■'■The  Medical  Advance,''  January,  1879.) 

This  catheter  (see  cut  above)  is  one  recently  introduced  to  the  profession  by  Messrs.  George 
Tiemann  c%  Co.,  of  New  York. 

The  chief  excellence  of  this  catheter  is,  that  the  eyes  are  -perfectly  smooth,  hence  its  name, 
"velvet-eyed,"  in  contradistinction  to  the  English  and  French  make,  which  have  their  eyes 
punched  out,  thus  giving  square  cut  edges  to  the  opening.  Sometimes  an  irritated  bladder 
that  shuts  down  tightly  upon  the  end  of  a  catheter  will  force  some  folds  of  the  granular 
raucous  membrane  into  the  eyes,  thus  making  it  painful  and  hard  to  withdraw.  Villous  masses, 
springing  from  the  bladder,  are  sometimes  caught  in  the  eyes  of  the  catheters  generally  used, 
and  it  would  seem  that  these  smooth-eyed  catheters  would  avoid  this  entirely. 

In  enlarged  prostates,  no  catheter  is  so  easy  of  introduction  as  the  "  flexible,"  and  none  less 
irritating  to  the  bladder.  These,  with  the  guide  of  Dr.  Otis,  just  described,  will  be  of  great 
use  to  the  country  practitioner,  especially  in  relieving  victims  of  an  enlarged  prostate. 

Price. — Tiemann's  Velvet-eyed  Catheter,  marked  with  both  American  and  English 

Numbers $0.75 

We  also  have  in  stock : 

Jaques',  marked  with  English  Numbers 75 

Nelatons,  marked  with  French  Numbers .- 50 

(N.  B. — A  card  scale  with  American  and  French  Catheter  and  Bougie  Guage  and  Measure, 
metrical  and  in  inches,  will  be  mailed  on  application.) 


JPiiiCE  List. 
07  CHATHAM  STREET,  NEW  YORK. 


35 


Branch  Store, 


107  East  28Tir  Street,  N.  Y. 


a,lCTE0»lilBICilX/  AFWARA'SjIIS. 


CoMLSBftani:  <J\ii:-i'm\±  IJsxttcries. 

Having  made  arrangements  with  Messrs.  Flemming  &  Tai/jjot  to  act  as  special  agents  for 
the  sale  of  their  Electro-Medical  Batteries  and  Instruments,  we  desire  to  call  tlie  attention  of 
the  profession  to  their  apparatus,  the  principal  ones  being  illustrated  and  briefly  described 
herewith. 


The  different  sizes,  from  10  to  60  cells,  are  so  made  in  sections  of  10  cells  each  that  any  one 
section,  or  any  number  of  sections  can  be  used  independently  of  the  others,  or  all  used  together. 
The  elements  are  zinc  and  carbon ;  the  fluid,  bi-chromate  of  potassium,  and  the  cells  are  htird 
rubber.  Covering  the  cells,  when  not  in  action,  is  a  hydrostat,  or  rubber-cushioned  sliding 
board,  which  is  pressed  down  tightly  upon  them  when  the  lid  is  closed,  thus  preventing  the 
fluid  from  spilling  while  being  transported,  or  if  by  accident  it  should  be  upset.  The  cells  can 
be  taken  out  in  front  for  re-charging,  obviating  the  annoyance  and  risk  of  breakage  in  removing 
the  plates  on  top.  Connected  with  the  binding  posts  for  receiving  the  electrode  cords  is  a 
commutator  for  reversing  the  polarity  of  the  electrodes,  or  for  interrupting  the  current  by 
hand.  On  special  orders,  an  "Automatic  Rheotome,"  for  interrupting  the  current,  or  a  "  Gal- 
vanoscope,"  for  showing  the  state  of  the  current,  is  attached. 

The  walnut  cases  of  these  batteries  are  highlj^  polished,  and  all  the  metallic  parts  finely 
nickel  plated. 


Price  of  10  cell  Battery $25.00 

20  cell  Battery 45.00 

30  cell  Battery 65.00 

40  cell  Battery 80,00 


Price  of  60  cell  Battery $100.00 

Automatic  Rheotome 10.00 

Galvanoscope 5.00 


Pkice  List. 

30  GEO.  TIEMANN  &  GO'S  SURGICAL  INSTRUMENTS. 

F.  A.  Stohlmanx.  Edward  Pfarue. 


IVoo  1 .    ITaraclic  Ciirrout;  Battex-y 


Tliis  Batteiy  is  intonded  chiefly  for  the  use  of  pliysicians 
ill  malving  tlieir  daily  visits,  for  purposes  of  diagnosis,  or  in 
treating  simple  cases  where  the  Faradic  current  is  required. 

It  is  in  a  neat  morocco  case,  6x6x73>^  inches,  and  Aveighs, 
Avhen  charged,  only  five  pounds. 

Price,  $15.00. 


IVo. 


ITaratlic  Battery 


A  little  larger  and 
more  powerful  than 
No.  1,  and  with  the  ad- 
dition of  a  commuta- 
tor for  reversing  the 
polarity  of  the  elec- 
trodes during  applica- 
tion. It  is  sufficiently 
powerful  for  nearly  all 

cases  where  the  Faradic  current  is  required,  though  for 

a  physician  in  general  practice  we  would  recommend 

the  more  complete  and  powerful  No.  3. 

Put  up  in  a  polished  walnut   case,  metallic  work 

nickel  i^lated. 

Price,  $20.00. 


IVo.  3.    ir'ax'aclio  Battery. 


This  Battery  is  provided  with  a  slow  and  a 
rapid  rheotome,  or  current  interrupter  ;  a  com- 
mutator, or  polarity  changer ;  scales,  by  which  the 
primary  and  secondary  currents  may  be  graduated 
to  the  utmost  delicacy  or  the  greatest  power ;  and 
with  our  new  patent  galvanic  cell.  This  cell, 
which  is  charged  with  a  solution  of  bi-chromate 
of  potash,  is  so  made  that  when  not  in  action  the 
zinc  is  taken  out  of  it  altogether  and  placed  in  a 
vulcanite  cell  provided  for  the  purpose.  The 
aperture  through  Avhicli  it  passes  is  covered  by  a 
rubber  hydrostat,  making  the  cell  perfectly  fluid 
tight,  and  saving  both  the  fluid  and  the  zinc  from 
the  effect  of  splashing  in  transportation,  or  of  im- 
mersion in  case  of  upsetting.  By  this  plan,  also, 
the  cell  can  be  filled  nearly  to  the  top  and  the 
zinc  be  made  twice  the  usual  length;  it  will  thus 
produce  a  stronger  current,  and  last  a  longer  time. 

It  is  enclosed  in  a  handsome  walnut  case,  l}^. 
x73^x83^  inches,  has  all  its  metallic  parts  finely 
nickel  plated',  and  Aveighs,  when  charged,  ten 
poimds. 


Price,  $30.00. 


TWO  SILVER  MEDALS  AND  ONE  BRONZE  MEDAL 


INTERNATIONAL    EXHIBITION,    PARIS,    1867. 


Parties  wishing  our  instruments  and  finding  it  more  convenient  to  obtain  them  through 
dealers,  are  requested  to  order  "  Tiemann's  manufacture/'  as  otherwise  inferior  goods  are 
sometimes  substituted. 


TWO   SILVER    MEDALS 


AWAKDED   BY   THE 


PARIS    EXPOSITION    OF    1867. 

Being  the  only  Silver  Medals  granted  to  American  Exhibitors  of  Surgical  Instruments. 


Parties  wishing  our  instruments  and  finding  it  more  convenient  to  obtain  them  through 
dealers,  are  requested  to  order  "TJ.emann's  manufacture,"  as  otherwise  inferior  goods  are 
sometimes  substituted. 


EXTRACT  FKOJI  OENEKAL  REPOTIT  OF  'J'HE  JUDGES  OF  GKOri'  XXIV. 

INTERNATIONAL  EXHIBITION,  1876. 


"The  largest  collection  of  instruments  was  exhibited  by  Messrs.  Tiemann  &  Co.,  of  ISIew 
York.  It  embraced  almost  every  instrument  used  by  the  surgeon  in  general  or  special  practice, 
and  some,  entirely  new.  In  material,  workmanship,  and  exquisite  finish,  thej^  could  not  be  excelled. 
They  Avere  complete  in  mimite  detail  so  essential  to  the  formation  of  a  perfect  instrument,  and 
gave  evidence  of  scrupulous  care  and  nice  appreciation  of  the  wants  of  the  surgeon." 


JUDGES   REPORT    ON   THERMOMETERS   AND   GALVANO-CAUSTIC   APPARATUS. 

"  Commended  for  excellent  construction,  worlcmanship,  and  applicability  of  Clinical  Ther- 
mometers and  Dawson's  Galvano-Caustic  Apparatus." 


"The  most  complete  Battery  presented  for  competition,  was  one  exhibited  by  Tiemann  &  Co:, 
invented  by  Dr.  Dawson." 


TWO  FIRST  MEDALS  AND  HONORABLE  MENTION 


SANTIAGO,    CHILI,    1875. 


Parties  'wishing  our  instruments  and  finding  it  more  convenient  to  obtain  tliem  through 
dealers,  are  requested  to  order  "Tiemann's  manufacture,"  as  otherwise  inferior  goods  are 
sometimes  substituted. 


COLUMBIA  UNIVERSITY  LIBRARIES 

This  book  is  due  on  the  date  indicated  below,  or  at  the 
expiration  of  a  definite  period  after  the  date  of  borrowing, 
as  provided  by  the  rules  of  the  Library  or  by  special  ar- 
rangement with  the  Librarian  in  charge. 


DATE  BORROWED 

DATE  DUE 

DATE  BORROWED 

DATE  DUE 

H^ 

^-    2  0  1843 

czed  i4o)Mioo 

